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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Last Saturday, I’d been struggling with an entire week above 200 that just didn’t seem to want to budge. So I decided that I couldn’t risk the Omnipod anymore and I had to pull it from my management routine, at least until things settled down. I started twice-daily Lantus injections on Saturday night and have been working out the kinks of being back on MDIs since then. The first three days of switching to MDIs were rough. Watching the Lantus take effect slowly was like waiting for...