Usually, after a diagnosis of diabetes, doctors educate patients about the harm caused by diabetes, which can cause progressive, irreversible damage to multiple organs, and even induce serious disease.
Therefore, diabetics should know that the clinical treatment principle of the disease is to control blood sugar growth to reduce the chance of diabetic complications.
But even so, the overall control rate of diabetes in mainland China is actually not high, and some sugar friends' blood glucose control is not only unstable, but even the symptoms of blood glucose instability at night and in the morning have changed, that is, the patient's midnight blood sugar is too low, and after the morning, there are symptoms of elevated blood sugar, which is clinically called "Su Mujie reaction".
So the question is, what is the Su Mujie reaction, and what kind of people are most likely to appear?
In the 1930s, a man named Su Mujie discovered that excessive insulin use could lead to unstable blood sugar in diabetics, and that when the amount of insulin was reduced, it would cause the patient's blood sugar to drop.
Therefore, Su Mujie put forward the statement that there is hypoglycemia and high blood sugar, and since then, this phenomenon has been called Su Mujie reaction!
In layman's terms, the Sumujie phenomenon is mainly manifested as low blood sugar at night and high blood sugar before breakfast, that is, low and high performance.
The main reason is that the patient insulin or hypoglycemic drugs after the use of excessive use of hypoglycemic symptoms, the body found this performance, its own negative feedback regulatory mechanism began to work, prompting the secretion of a large amount of glucagon, growth hormone, adrenocortical hormone and epinephrine, so after hypoglycemia, the patient has hyperglycemia and urine sugar increase.
Diabetics who want to determine whether the increase in fasting blood glucose is related to the Sumujie reaction should have a blood glucose test starting at 0:00 in the night after the usual use of insulin or oral hypoglycemic drugs, usually every two hours until the early morning of the next day. If there is hypoglycemia in the middle of the night and high blood sugar after dawn, it is a manifestation of Su Mujie's reaction.
According to the current clinical data, the following six types of people are most likely to have Su Mujie reactions:
1, diabetes is clinically divided into type 1 and type 2 two, type 1 diabetes is also known as insulin-dependent diabetes, patients have absolutely insufficient insulin in the body, prone to various serious complications, so it is necessary to inject insulin for life for treatment. Compared with patients with type 2 diabetes, such patients are more likely to have Sumujie reactions;
2. Patients with a history of diabetes for more than 15 years, or patients who have had underlying diseases, such as cardiovascular and cerebrovascular diseases, and impaired liver and kidney function;
3. Elderly diabetic patients over the age of 75;
4. Patients who have been diagnosed with diabetes, but glycosylated hemoglobin is close to normal value;
5. Patients with high fasting blood glucose, who increased the dosage of medicine the night before, but the fasting blood glucose still did not decline;
6. Patients with blood glucose below 6 mmol/L before going to bed, nightmares, shortness of breath, chest tightness and other symptoms in sleep.
Finally, we should remind everyone that when the phenomenon of Su Mujie occurs, everyone should understand that this is because of the phenomenon of high blood sugar caused by low blood sugar.
Therefore, at this time, it is not possible to increase the dosage of medicine or insulin injection at will, but should actively seek medical advice, adjust diet and exercise under the advice of the doctor, and see if it is necessary to adjust the mode of medication so that the blood sugar can gradually stabilize.