Hello, I’m an old dog. I recently heard an ugly rumor that I can’t learn new tricks. I think that’s rather rude! Just because I’ve done things one way for a long time doesn’t mean that I can’t change! Being a PWD means constantly learning new things and changing old habits. For instance, I just recently learned something regarding Dawn Phenomenon and the Somogyi Effect. I’ve been experiencing high morning glucose readings for a while now and have been looking into possible reasons. I found these two possibilities:
Dawn Phenomenon: During sleep, hormones are released that trigger the liver to put out glucose in preparation for waking up. In PWD this can cause high fasting readings because our wacky pancreas doesn’t release enough insulin to compensate. It doesn’t have much to do with what you ate the night before or how great your reading was at bedtime. It’s a rather frustrating thing.
Somogyi Effect: If your body has too much insulin during the night then it can cause this effect. This may be due to injecting too much insulin (for those who use it) or not eating a snack before bedtime. Your glucose drops during the night and your body releases hormones to counter-act causing your fasting reading to be high.
One suggestion to help determine which of these is causing high morning readings is to check your glucose at around 3AM. If it is normal or high, you are probably dealing with Dawn Phenomenon. If it’s low, it’s probably the Somogyi Effect. I plan to do this tonight and see what reading I get. (sorry Ray) I do have one concern…..testing my glucose while sleep-walking could be detrimental to my over-all health. :/
I’m hoping that it’s Somogyi (even though I can’t pronounce it) because it sounds easier to fix. No matter what I discover, I feel good that I’m learning new things and trying to “fix my problem”. I will definitely discuss this with my doctor when I see her in June. I like going to my appointments armed with information. It’s important to take an active part in my health and not just let the doctor tell me what I should be doing. Knowledge is power! I may be an old dog, but I’m a smart one who knows how to research.