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Management of the dawn phenomenon varies by patient and thus should be done with regular assistance from a patient's physician. Some treatment options include, but are not limited to, dietary modifications, increased exercise before breakfast and during the evening, and oral anti-hyperglycemic medications if a patient's HbA1c is > 7%.
Dawn phenomenon A sudden rise in blood glucose levels in the early morning hours. This condition sometimes occurs in people with type 1 (formerly known as insulin-dependent) diabetes and (rarely) in people with type 2 (formerly known as noninsulin-dependent) diabetes. Unlike the Somogyi effect, it is not a result of an insulin reaction.
Somogyi showed that excessive insulin makes diabetes unstable and first published his findings in 1938. [3] Compare with the dawn phenomenon, which is a morning rise in blood sugar in response to waning insulin and a growth hormone surge (that further antagonizes insulin).
It can be confused with the Dawn phenomenon and whether or not Somogyi's theory is actually correct is still contested. [10] In 1949, Somogyi argued against the use of high doses of insulin on the grounds that it was a potentially dangerous form of treatment.
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