How can you tell the difference between Somogyi and dawn phenomenon?

How can you tell the difference?

  • If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect.
  • If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it’s likely the dawn phenomenon.

What is dawn phenomenon symptoms?

Share on Pinterest Symptoms of the dawn phenomenon include nausea, weakness, and extreme thirst. The dawn phenomenon refers to a rise in blood sugar released by the liver. The release happens as the person’s body is preparing to wake for the day. The body normally uses insulin to cope with this rise in blood sugar.

How do you fix Somogyi effect?

For Somogyi effect:

  1. Decreasing the dose of diabetes medications that are causing overnight lows.
  2. Adding a bedtime snack that includes carbs.
  3. Doing evening exercise earlier.
  4. If you take insulin, switching to an insulin pump and programming it to release less insulin overnight.

What do you do if you have dawn phenomenon?

How is dawn phenomenon treated? Typically dawn phenomenon is treated by avoiding intake of carbohydrates at bedtime, adjusting how much insulin or medication is administered, switching to other medications or using an insulin pump.

What should my sugar be first thing in the morning?

Printable Blood Sugar Chart

Time and Situation Goal for Non-Diabetics
First thing in the morning (fasting before breakfast) < 100 mg/dl
Before lunch, dinner, and snacks < 110 mg/dl
Two hours after starting to eat a meal or snack < 140 mg/dl
Before going to bed < 120 mg/dl

What is the most likely cause of the Somogyi effect?

The causes of Somogyi phenomenon include excess or ill-timed insulin, missed meals or snacks, and inadvertent insulin administration. Unrecognized posthypoglycemic hyperglycemia can lead to declining metabolic control and hypoglycemic complications.

Why does my blood sugar spike at 3 am?

In the early morning hours, hormones (growth hormone, cortisol, and catecholamines) cause the liver to release large amounts of sugar into the bloodstream. For most people, the body produces insulin to control the rise in blood sugar. If the body doesn’t produce enough insulin, blood sugar levels can rise.

Is Somogyi effect normal?

For people who have diabetes, the Somogyi effect and the dawn phenomenon both cause higher blood sugar levels in the morning. The dawn phenomenon happens naturally, but the Somogyi effect usually happens because of problems with your diabetes management routine.

What’s the Somogyi effect?

If the blood sugar level drops too low in the early morning hours, hormones (such as growth hormone, cortisol, and catecholamines) are released. These help reverse the low blood sugar level but may lead to blood sugar levels that are higher than normal in the morning.

How is the Somogyi effect different from the dawn phenomenon?

This essentially nullifies the dawn phenomenon. The difference between the Somogyi effect and the dawn phenomenon is that the Somogyi effect is a response to low blood sugar during the night. Testing blood sugar levels at 3:00 a.m. and again in the morning can help distinguish between the types of changes.

How can you tell if you have the Somogyi effect?

Before a doctor can diagnose the Somogyi effect, a person will need to take blood glucose readings over several nights. They should check their blood sugar levels: Low blood sugar readings at 3:00 a.m. and high readings upon waking up indicate the Somogyi effect. Using a CGM system may be helpful, as it records changes over time.

What are the symptoms of the dawn phenomenon?

The symptoms that are associated with the dawn phenomenon and Somogyi effect will vary greatly, and will depend on how long a person has had diabetes. A person who has had type 1 diabetes for a long period of time may have hypoglycemia unawareness, which means they do not experience any symptoms when they have low blood sugar.

When does the Somogyi effect occur in diabetes?

The Somogyi effect occurs in people with diabetes who use insulin therapy to manage their condition. It can happen when a person: These factors can cause blood glucose levels to fall too low. The body then responds by releasing hormones to raise the levels. However, sometimes the levels of blood sugar rise too high.