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The Somogyi phenomenon (also known as post-hypoglycemic hyperglycemia, chronic Somogyi rebound) describes a rebound high blood glucose level in response to low blood glucose.
Amongst those people with diabetes who manage their blood glucose using insulin injections, this may take the form of high blood sugar in the morning due to an excess amount of insulin during the night. He prepared the first insulin treatment given to a child with diabetes in the USA, and also showed that too much insulin would make diabetes management unstable and more difficult.
The Dawn Effect (or Dawn Phenomenon) is a morning rise in blood sugar which occurs as a response to waning levels of insulin and a surge in growth hormones.
Somogyi theorised that prolonged levels of untreated hypoglycemia could lead to stress (due to low blood sugar) and a high blood sugar levels rebound. This is a defensive response by the body as it released endocrine hormone glucagon, backed up by the stress hormones cortisol and epinephrine. This means an instant increase in blood glucose, and stress hormones cause insulin resistance for several hours, and this in turn leads to elevated blood sugar.


Testing blood sugar regularly using a traditional blood glucose meter helps to catch low blood sugar levels before any rebound occurs.
Night testing of blood glucose levels is also important, and adjusting insulin in response may also be appropriate.
Practical ways to avoid Somogyi effect include regular blood glucose monitoring, logging blood glucose values, conservatively increasing insulin, being aware of hypoglycemia and how your insulin influences it, and using the most suitable insulin for your circumstances.
The evidence indicates that most people with type 1 diabetes who experience nocturnal Somogyi effect do not usually wake up. At this stage, although the Somogyi Effect is widely reported and well-known amongst healthcare professionals, there is little scientific evidence to prove its existence. Clinical studies indicate that high fasting glucose is down to insulin running out during the night. Find support, ask questions and share your experiences with 209,001 members of the diabetes community.
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The first comprehensive, free and open to all online step-by-step guide to improving hypo awareness.
Nutrition & Diet Therapy (7 th Edition) Carbohydrate-Controlled Diets for Diabetes Mellitus Chapter 21. Microvascular complications –Progressive damage to microcirculation caused by long-term diabetes Retinopathy (damage bl.
Nutrition & Diet Therapy (7 th Edition) Fiber –Recommendations similar to those of general population Include fiber-rich foods: legumes, whole grains, fruits, and vegetables. Firstly, intense blood glucose testing allows the individual experiencing Somogyi effect to detect and then prevent the circumstances leading to it. The need to keep blood sugar levels stable whilst still adjusting insulin to take account of a complex lifestyle involving stress and exercise can be really difficult.



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