Page 205 - Biochemistry PharmD General

Alterations in blood sugars

Hyperglycemia: high blood sugar

• Dawn phenomenon: rise in blood sugar between 4 am and 8 am,
not associated with hypoglycemia (Glucose released from the
liver in the early AM secondary to growth hormones).

• Somogyi effect: combination of hypoglycemia during night with a
rebound morning hyperglycemia that may lead to insulin
resistance for 12 to 48 hours.

204