diabetestalk.net

How Do You Assess For Somogyi Phenomenon?

Share on facebook

Somogyi Effect

Ads by Google Fasting can elevate cortisol levels, which in turn raises blood sugar. So, for someone with blood sugar regulation issues such as diabetes, fasting may make their blood glucose worse. What is Somogyi effect? Somogyi phenomenon is due to your body’s reaction to midnight hypoglycemia. Since the patient is sleeping, they don’t feel the hypoglycemic symptoms such as tiredness, shakiness, tremors, or confusion. This low blood sugar is undesirable. Thus your body reacts to this with an overshoot of counterregulatory hormones such as glucagon, epinephrine, growth hormone, and cortisol. It makes the liver to dump hepatic glucose, which raises morning blood glucose level even up to 300s. Additionally, counter-regulatory hormones may cause insulin resistance for about 12 to 48 hours. Fasting blood sugar level is elevated in reaction to the preceding low. Thus Somogyi effect is also called as rebound hyperglycemia. The patient is succumbed to increase the insulin dose still more; this leads to further more hypoglycemic episodes. A vicious circle leads to increase, and increased insulin doses occur with extremely unstable and brittle diabetes. High dose insulin / Missed meals Continue reading >>

Share on facebook

Popular Questions

  1. NAYPOOIE

    Still a problem. More of a problem because I just don't feel like eating in the morning.

    current weight: 208.0



    250

    221.25

    192.5

    163.75

    135

  2. NAYPOOIE

    I had an interesting experience a week ago. I got up and tested at 120, then, still fasting, tested again at the clinic (for a quick and dirty calibration of my meter against theirs) a couple hours later. It had jumped to 198! It disturbed me, but made me determine to eat breakfast more promptly in the future.

    current weight: 208.0



    250

    221.25

    192.5

    163.75

    135

  3. SARAH548

    Saille wrote: "Here is a good link with information about why blood glucose levels spike after excersising:"
    THANKS! I've been getting concerned that my blood glucose readings have started "spiking" after exercise; I'll mellow out about it now and will try having a protein/carb snack before.
    T2 diabetic; diagnosed 1/2007. Maintaining A1c of 5.1% - 5.4% for past 3+ years. No diabetic medication at this time; managing diabetes through carb restriction (40-50 grams carbohydrate per day) and moderate exercise.
    "Walking is the best possible exercise. Habituate yourself to walk very fast." - Thomas Jefferson


    Pounds lost: 6.5



    0

    1.75

    3.5

    5.25

    7

  4. -> Continue reading
read more close

Related Articles

Popular Articles

More in diabetes