What are the two main causes of morning hyperglycemia,”Dawn phenomena-Increase in noctural GH results in morning hyperglycemiaSomogyi effect-Noctural hypoglyceima results in release of E and glucagon –> morning hyperglycemiaDx and treatment-Check glucose at 3AM. If glucose is high, it is dawn phenomenon. Just increase insulin. If glucose is low
it is somgoyi and reduced nocturnal insulin dose”