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:
“Then leaf subsides to leaf.
So Eden sank to grief,
So dawn goes down to day.
Nothing gold can stay.”
—Robert Frost (1874–1963)
“When the ice is covered with snow, I do not suspect the wealth under my feet; that there is as good as a mine under me wherever I go. How many pickerel are poised on easy fin fathoms below the loaded wain! The revolution of the seasons must be a curious phenomenon to them. At length the sun and wind brush aside their curtain, and they see the heavens again.”
—Henry David Thoreau (1817–1862)