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diabetes

causes of morning hyperglycemia

TermDefinition
Insulin waning progressive rise in blood glucose from bedtime to morning
insulin waning treatment is to increase evening dose of NPT or Lantus (glargine), Detemir (Levemir)
Dawn phenomenon normal blood glucose until 3 am when level begins to rise;nocturnal surges in growth hormone secretion which creates a greater need for insulin
Dawn phenomenon treatment time of injection of evening NPH from dinnertime to bedtime
Somogyi Effect normal or elevated blood glucose at bedtime, a decrease at 2-3 am to hypoglycemia levels ;rebound hyperglycemia
Somogyi Effect treatment decrease evening dose of NPH or increase bedtime snack
Created by: N122-medsurg
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