Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
The dawn phenomenon typically refers to the rise in blood glucose (BG) before and after breakfast in patients with type 1 diabetes. Recently, the dawn phenomenon has been studied in type 2 diabetic patients as well.
In a recent study, Monnier et al. examined data from the past 30 years on the dawn phenomenon to determine the implications for treatment differences, if any, between type 1 and type 2 diabetes patients.
The researchers studied three groups of type 2 diabetic patients (N=248) on either diet only, insulin sensitizers, or secretagogues alone or with insulin sensitizers. The interstitial glucose (IG) concentration was collected overnight by continuous ambulatory IG monitoring for all subjects. The dawn phenomenon produced a mean A1C increase of 0.39% and this increase occurred regardless of treatment type.
http://www.diabetesincontrol.com/ar...555-what-do-we-know-about-the-dawn-phenomenon
Given the restrictions placed on test strips I would imagine that the majority of people are unaware that they even suffer from DP, and even if they fund themselves and discover it, I can't see many GPs shelling out for insulin, or many patients being keen on using it if their HbA1c is around 7%.
In a recent study, Monnier et al. examined data from the past 30 years on the dawn phenomenon to determine the implications for treatment differences, if any, between type 1 and type 2 diabetes patients.
The researchers studied three groups of type 2 diabetic patients (N=248) on either diet only, insulin sensitizers, or secretagogues alone or with insulin sensitizers. The interstitial glucose (IG) concentration was collected overnight by continuous ambulatory IG monitoring for all subjects. The dawn phenomenon produced a mean A1C increase of 0.39% and this increase occurred regardless of treatment type.
http://www.diabetesincontrol.com/ar...555-what-do-we-know-about-the-dawn-phenomenon
Given the restrictions placed on test strips I would imagine that the majority of people are unaware that they even suffer from DP, and even if they fund themselves and discover it, I can't see many GPs shelling out for insulin, or many patients being keen on using it if their HbA1c is around 7%.