Endocrine

Question 1

What is the Dawn Phenomenon?

Answer 1

Between 3am-8am, the body turns out stored glucose to prepare for the day ahead. It also releases hormones to decrease insulin sensitivity. At the same time, bedtime insulin is wearing off.

Question 2

What is the Somogyi effect?

Answer 2

Man-made “rebound hyperglycemia” resulting from

• proving too much insulin causing low glucose in the middle of the night resulting in the production of hormones that release stored glucose
• not enough insulin such that you wake up with elevated poorly controlled glucose.

Question 3

Alendronate: how do you prevent pill esophagitis

Answer 3

Drink pill with full cup of water. Sit up x 30 mins. Stop alendronate after 5 years.