Endocrinology Book

http://www.fpnotebook.com/

Dawn Phenomena

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  1. Pathophysiology
    1. Waning-off of Insulin action in AM hours
    2. Secondary to increased nocturnal GH output
    3. Results in high AM blood sugars
  2. Diagnosis
    1. Checking 3 am blood sugar
  3. Management
    1. Increase evening long-acting Insulin (NPH) dose

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