Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
The so-called "dawn phenomenon" has a significant impact on many of those with type 2 diabetes and is already present in some patients treated only with diet alone, new research shows. In addition, this effect is not blunted by oral hypoglycemic agents, the study by Louis Monnier, MD, from University Montpellier, France, and colleagues reveals.
The dawn phenomenon refers to a spontaneous rise in blood glucose that occurs at the end of the night in patients with both type 1 and type 2 diabetes; this does not occur in individuals without diabetes, because endogenously produced insulin prevents this.
The findings indicate that in selected type 2 diabetes patients, specifically those with HbA1c approaching 7% who are demonstrating evidence of the dawn phenomenon, insulin use should be considered earlier than it is traditionally, because insulin can eliminate this effect, said Geremia B Bolli, MD, from the University of Perugia, Italy.
http://www.medscape.com/viewarticle/814001
(free registration required)
The dawn phenomenon refers to a spontaneous rise in blood glucose that occurs at the end of the night in patients with both type 1 and type 2 diabetes; this does not occur in individuals without diabetes, because endogenously produced insulin prevents this.
The findings indicate that in selected type 2 diabetes patients, specifically those with HbA1c approaching 7% who are demonstrating evidence of the dawn phenomenon, insulin use should be considered earlier than it is traditionally, because insulin can eliminate this effect, said Geremia B Bolli, MD, from the University of Perugia, Italy.
http://www.medscape.com/viewarticle/814001
(free registration required)
