dev
Forum Guru
Topics: 70
Posts: 1,794
|
hi guys
can anyone explain the difference between somogyi effect and dawn phenomenon?both are rise in blood glucose concentration,so y ar ethey different?
:?:
bye
dev
|
| doctorhung
Forum Newbie
Topics: 3
Posts: 19
|
Diagnosis key is to check 3AM Glucose
1. Somogi-- 3AM glusoce low, then cetecholamine.... elevated, then morning glucose high.
2. Down-- growth hormone...elevated gradually since fall asleep, so 3AM glusoce high, morning glucose even higher.
|
| Hamidi
Forum Guru
Topics: 46
Posts: 471
|
Somogyi-->early morning hyperglycemia.Cause is usually ^ amount if insulin that wud led to hypoglycemia arround 3 am......couterregulatory hormones kick in leading to hyperglycemia
Dawn phenomenon-->early morning hyperglycemia.Cause is lower than required dose of inslin leading to hyperglycemia.
To manage u first treat it as if it is Somogyi ----> decrease insulin and moniter bld glucose during night .cz if u increase insulin(thinking it is dawn )then pt is at risk of having sever hypoglycemia which can be fatal.
Any correction????
|
|
| |
| | | |
