Handling Morning Highs
Somogyi Effect vs. Dawn Phenomenon
By Theresa Garnero, APRN, BC-ADM, MSN, CDE
Have you ever gone to bed with a relatively normal glucose reading, only to wake up with a much higher value? Do you wonder why glucose numbers can swing during sleep or pre-dawn hours?
This slideshow will address readers' questions about the difference between two possibilities: the Somogyi effect and dawn phenomenon.
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This morning it wasn’t the sun, the wind, or the birds that woke me up. It was the soft, insistent vibrating of a medical device urging me to check my blood sugar. Opening my eyes, still safely under the covers, I checked my blood sugar with a meter smaller than a deck of cards, calibrated my continuous glucose monitor, and then glanced at my insulin pump — which reminded me that today was the day I needed to change my infusion set. My dLife is pretty high tech. And I’m...