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diabetes
causes of morning hyperglycemia
Question | Answer |
---|---|
characteristic of insulin waning | progressive rise in blood gluose from bedtime to morning |
characteristic of dawn phenomenon | relatively normal blood gluose until about 3 am when the level begins to rise. |
characteristic of somogyi effect | Normal or elevated blood glucose at bedtime, a decrease at 2-3 am to hypoglycemic levels and a subsequent increase cause by the production of counterregulatory hormones. |
treatment of insulin waning | increase evening (predinner or bedtime) dose of intermediate or long acting insulin, or institute a dose of insulin before the evening meal if one is not already part of the treatment regimen |
treatment of dawn phenomenon | change time of injection of evening intermediate acting insulin from dinner time to bedtime |
treatment of somogyi effect | decrease evening (predinner or bedtime) dose of intermediate-acting insulin, or increase bed-time snack. |