Early morning hyperglycemia is sometimes called the “dawn phenomenon.” Left untreated, it can drive poorer outcomes. How can it be detected and managed?
The “dawn phenomenon” describes a pattern in which episodes of hyperglycemia are experienced by patients with diabetes or prediabetes during the early morning hours . It typicallyby Schmidt and colleagues in 1981 to refer to a rise in morning fasting glucose in patients with type 1 diabetes . It has since beensuggests that patients with diabetes with the DP have poorer outcomes and higher rates of all-cause mortality than those without the DP.
It is also important to distinguish the DP from other causes of morning hyperglycemia, such as overnight deficiency in basal insulin and medication interactions, Peterson said.for treating the DP can be challenging because increasing the bedtime doses of medications that counteract hyperglycemia might be associated with undesirable nocturnal hypoglycemia.typically don’t adequately control the DP, even when given in combination.
“Typically, we would recommend a breakfast lower in carbohydrates and sugar in those with the dawn phenomenon,” he said. “Cereal, oatmeal, and orange juice are traditional breakfast foods but probably not the best choice for people with an impaired glucose mechanism, which is accentuated by the dawn phenomenon.”
Diabetes Mellitus Type Ii Type 2 Diabetes Type 2 DM T2DM T2D Hyperglycemia Blood Continuous Glucose Monitoring Continuous Glucose Monitoring (CGM) CGM Exercise Physical Activity Diabetes Mellitus Type 1 Diabetes Mellitus Type I Type 1 Diabetes Type 1 DM T1DM T1D Hypoglycemia Prediabetes Borderline Diabetes South Carolina Circadian Circadian Rhythm
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