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How Do You Assess For Somogyi Phenomenon?

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Diabetes And The Somogyi Effect

I have had some interesting diabetic cases in the last month. Both cases were diagnosed with diabetes at other clinics and found their way to Four Lakes Veterinary Clinic. Generally, the diagnosis of diabetes is pretty straightforward. A dog or cat will be brought to the clinic because it is eating a lot, but losing weight, drinking a lot and possibly having urine accidents in the house, or looks skinny and is having problems walking or jumping. Blood and urine samples are taken to look for possible causes and, if diabetic, the blood glucose will be very high (often above 500, when the normal range is 80-120) and there will be glucose in the urine. If the pet is really sick, there may be ketones in the urine, too. In a diabetic animal, the body isn't producing enough insulin. Insulin is the substance produced by the pancreas (an organ near the stomach) that helps glucose, a simple sugar, get into the cells of the body. Without insulin to "unlock" the door into the cell, the sugar molecules go right by. Now the body thinks it is starving, so it starts breaking down protein and fat to provide the body with glucose. But without insulin, the cells still think they are starving, even th Continue reading >>

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  1. Nicole2010

    "response tp excessive dose of insulin. is a hypoglycemic condition that usually occurs in the predawn hrs of 2-4am. there is a rapid decrease in blood glucose which stimulates a release of hormones (eg cortisol, glucagon, epinephrine) to increase blood glucose by lipolysis, gluconeogenesis, & glycogenolysis. blood sugars must be monitored between 2-4 am & reduce the bedtime insulin level"
    this is straight from the pharm book

  2. missjennmb

    that sounds like another language lol
    wonder what it means in English

  3. ghillbert

    Basically means rebound hyperglycemia. Your blood glucose level drops too low overnight, and to compensate the body over-reacts by releasing a whole bunch of chemicals which result in elevated blood sugar in the morning.
    Way to avoid the rebound is to avoid the hypo - may mean timing or dosing the night time insulin differently.

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