Fasting Hyperglycemia

Question 1

What are the TWO (2) conditions of FASTING HYPERGLYCEMIA?

Answer 1

1. Dawn Phenomenon

2. Somogyi Phenomenon

Question 2

This CONDITION of FASTING HYPERGLYCEMIA results from nighttime GH that causes blood glucose elevations at 5:00-6:00AM.

Answer 2

Dawn Phenomenon

Question 3

This CONDITION of FASTING HYPERGLYCEMIA occurs due to the COUNTERREGULATORY response to NIGHTTIME HYPOGLYCEMIA.

Answer 3

Somogyi Phenomenon

Question 4

What FOUR (4) ways is DAWN PHENOMENON managed?

Answer 4

1. Avoid carbs at bedtime
2. Providing more insulin to cover overnight period.
   * e.g intermediate acting @ 10pm*
3. Adjust time medication/insulin is taken from dinner to bedtime
4. Use of insulin pump to admin extra insulin during early morning hours

Question 5

Which CONDITION of HYPERGLYCEMIA should be suspected if the BS is LOW at 2:00AM to 3:00AM?

Answer 5

Somogyi Phenomenon

Question 6

Which CONDITION of HYPERGLYCEMIA should be suspected if the BS is NORMAL or HIGH at 2:00AM to 3:00 AM?

Answer 6

Dawn Phenomenon

Question 7

What FOUR (4) ways is SOMOGYI PHENOMENON managed?

Answer 7

1. Increase food intake ⬆️🍔 in the evening 🌙✨

2. Lower insulin doses ⬇️💉 in the evening 🌙✨