Insulin Complications

Insulin Complications

Hyperglycemia before breakfast

Dawn Phenomenon

Reduced sensitivity to insulin or surge of growth hormone/cortisol at night that causes hyperglycemia before breakfast (5am to 8 am) Treatment: Increase bedtime dose of long-acting insulin

Somogyi Phenomenon

Normal blood sugar at bedtime, but hypoglycemia occurs at about 03 am causing glucagon to be released and hyperglycemia occurs at 07 am. Treatment:  Decrease bedtime insulin or increase bedtime snack. Somogyi = 03 am hypoglycemia, need less insulin or more snack. How to remember Somogyi=Somogyi, So much insulin that we need to decrease.

Hypoglycemia around 3 AM
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