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Somogyi Phenomenon and Clinical Practice Discussion

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The Somogyi phenomenon
The Somogyi phenomenon considers that post-hypoglycemic hyperglycemia may be due to a
patient’s insulin levels and asks if it should be adjusted in the evening to prevent hyperglycemia
in the mornings. This adjustment is usually avoided. The Somogyi phenomenon occurs rarely so
it is not considered standardized practice. The importance of avoiding both hypoglycemia and
hyperglycemia and why the Somogyi phenomenon is clinically significant is to maintain proper
blood glucose levels. (Reyhanoglu ,2020)
“Using the Somogyi phenomenon as a precaution for standard in practice does not have enough
evidence. Instead, this theory can be used to help monitor patient’s blood glucose levels
throughout different times of the day to see if they fit the theory.” (Reyhanoglu ,2020)
Nevertheless some clinical studies propose that it is underdosing of insulin from the previous
night that fails to prevent hyperglycemia. Other study on Type 1 Diabetes patients states that
nocturnal hypoglycemia is usually associated with early morning hypoglycemia, not
hyperglycemia. In clinical practice, patients with hypoglycemic episodes at night, usually do not
wake up in the morning with hyperglycemia, hence refuting Somogyi Phenomenon. (Reyhanoglu
,2020)
There was a study done at the Washington University School of Medicine that concluded that
nocturnal hypoglycemia did not cause daytime hyperglycemia. It showed no correlation
between increased daytime glucose levels with the concentrations of counterregulatory hormones
such as glucagon, epinephrine, growth hormone, or cortisol. (Reyhanoglu ,2020) This study
disproved the theory of Dr. Somogyi.

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The Somogyi phenomenon The Somogyi phenomenon considers that post-hypoglycemic hyperglycemia may be due to a patient’s insulin levels and asks if it should be adjusted in the evening to prevent hyperglycemia in the mornings. This adjustment is usually avoided. The Somogyi phenomenon occurs rarely so it is not considered standardized practice. The importance of avoiding both hypoglycemia and hyperglycemia and why the Somogyi phenomenon is clinically significant is to maintain proper blood glucose levels. (Reyhanoglu ,2020) “Using the Somogyi phenomenon as a precaution for standard in practi ...
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