What is the dawn phenomenon that some people with diabetes experience? Can anything be done about it?
Answers from Maria Collazo-Clavell, M.D.
The dawn phenomenon, also called the dawn effect, is the term used to describe an abnormal early-morning increase in blood sugar (glucose) — usually between 2 a.m. and 8 a.m. — in people with diabetes.
Some researchers believe the natural overnight release of hormones — including growth hormones, cortisol, glucagon and epinephrine — increases insulin resistance, causing blood sugar to rise. High morning blood sugar may also be caused by insufficient insulin the night before, incorrect medication dosages or carbohydrate snack consumption at bedtime.
If you have persistently elevated blood sugar in the morning, checking your blood sugar once during the night — around 2 a.m. or 3 a.m. — for several nights in a row will help you and your doctor to determine if you have the dawn phenomenon or if there's another reason for an elevated morning blood sugar reading.
Nov. 19, 2011
- Umesh M, et al. Treatment of diabetes mellitus. In: Gardner DG, et al., eds. Greenspan's Basic and Clinical Endocrinology. 9th ed. New York, N.Y.: Mc-Graw Hill Companies, Inc.; 2011. http://www.accessmedicine.com/content.aspx?aID=8407903. Accessed Sept. 22, 2011.
- Collazo-Clavell M (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 28, 2011.
- Eisenbarth GS, et al. Type 1 diabetes mellitus. In: Kronenberg HM, et al. Williams Textbook of Endocrinology. 12th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-3/0/1555/0.html#. Accessed Oct. 2, 2011.