Dawn phenomenon, sometimes called the dawn effect, is an early-morning (usually between 2 a.m. and 8 a.m.) increase in blood sugar (glucose) relevant to people with diabetes. It is different from Chronic Somogyi rebound in that dawn phenomenon is not associated with nocturnal hypoglycemia.
It is possible that dawn phenomenon is caused by the release of counterregulatory hormones such as growth hormone, cortisol, glucagon, or epinephrine, all of which can signal the liver to release glucose. Other causes may include insufficient insulin administration the night before, incorrect medication dosages, or eating carbohydrate snacks at bedtime.
Dawn phenomenon can be managed in many patients by avoiding carbohydrate intake at bedtime, adjusting the dosage of medication or insulin, switching to a different medication, or by using an insulin pump to administer extra insulin during early-morning hours. In most of the cases, there is no need to change insulin dosing of patients who encounter dawn phenomenon.
Famous quotes containing the words dawn and/or phenomenon:
“If a walker is indeed an individualist there is nowhere he can’t go at dawn and not many places he can’t go at noon. But just as it demeans life to live alongside a great river you can no longer swim in or drink from, to be crowded into safer areas and hours takes much of the gloss off walking—one sport you shouldn’t have to reserve a time and a court for.”
—Edward Hoagland (b. 1932)
“The defiance of established authority, religious and secular, social and political, as a world-wide phenomenon may well one day be accounted the outstanding event of the last decade.”
—Hannah Arendt (1906–1975)