[IceMan]

More On Somogyi.....

Somogyi Effect is a swing to a high level of glucose (sugar) in the blood from an extremely low level, usually occurring after an untreated insulin reaction during the night.

The swing is caused by the release of stress hormones to counter low glucose levels.

People who experience high levels of blood glucose in the morning may need to test their blood glucose levels in the middle of the night.

If blood glucose levels are falling or low, adjustments in evening snacks or insulin doses may be recommended.

This condition is named after Dr. Michael Somogyi, the man who first wrote about it. Also called "rebound."

And This.....

A common problem encountered in persons with type 1 diabetes is fasting hyperglycemia. Three potential culprits of this hyperglycemia are insufficient insulin, the dawn phenomenon and the Somogyi Effect. When there is insufficient insulin, the duration of intermediate or long-acting insulin has ended during the night; therefore, circulating insulin levels will be low and blood glucose will rise. Low insulin levels can be suspected if the blood glucose is elevated around 2:00 - 3:00 a.m. Treatment may involve increasing the intermediate or long-acting insulin at bedtime.