Somogyi vs Dawn

Question 1

which is hyperglycemia first thing in the morning in response to nocturnal hypoglycemia?

Answer 1

somogyi

Question 2

dawn phenomenon is elevated fasting blood glucose and/or insulin requirements during early morning hours. is it triggered by nocturnal hypoglycemia?

Answer 2

NO

Question 3

what is the cause of dawn phenomenon?

Answer 3

Cause → natural hormonal rise (cortisol & growth hormone) early in the morning.

nocturnal elevation of growth hormone which raises BG – slows cells use of glucose.

Question 4

somogyi is an overcorrection from what?

Answer 4

a hypoglycemic episode at night

Question 5

somogyi happens because hypoglycemia triggered the release of counter regulatory hormones. list them (4)

Answer 5

glucagon: releasing glycogen from the liver
epinephrine
cortisol
growth hormone​

Question 6

what can cause hypoglycemia in the night (somogyi)?

Answer 6

too much or too little insulin at bedtime or skipped nighttime snack​

Question 7

tx for somogyi?

Answer 7

decrease insulin dose or changing the time of medication​