The secret of the morning sugar rises.

The secret of rising blood sugar in the morning — how to deal with the “dawn phenomenon” — is that many diabetics wake up in the morning with high levels of blood sugar, even though the blood sugar before bed the previous night was within normal limits. This morning increase in blood sugar is known as the Dawn phenomenon. Understanding its causes and coping methods helps patients to better manage their blood sugar levels. What is the dawn phenomenon? “Dawn” refers to the natural increase in blood sugar levels among diabetes patients in the early morning hours (usually between 4 and 8 a.m.). This has nothing to do with eating too much for dinner, but rather with hormonal genre: 1. Hormonal fluctuations: an increase in hormone genres such as growth hormones, cortisols and insulin, which can contribute to the release of stored glucose from the liver and increase blood sugar levels. Inadequate insulin: Early morning humans are less sensitive to insulin and are unable to effectively remove glucose from blood, leading to increased blood sugar. How can we distinguish between the “dawn phenomenon” and the “Sumuki response”? Another cause that may lead to high blood sugar in the morning is the Somogyi Effect reaction, which is an inverted high blood sugar caused by low blood sugar at night. Patients can be distinguished by monitoring blood sugar levels between 2 and 3 p.m.: if blood sugar is low, it may be a “sumujee reaction”; if blood sugar is normal or slightly higher, it may be a “dawn phenomenon”. How to deal with the dawn phenomenon? 1. Aligning dinners and evenings: reducing the intake of high carbohydrates foods in dinners, which can select small protein-rich foods such as a small piece of cheese or nuts to avoid carbohydrates causing night-time blood sugar fluctuations. Optimizing insulin treatment: If insulin is used, doctors can be contacted to adjust the dose or injection time of long-acting insulin to cover the period of early morning haemorrhagic sugar. 3. Use of drug-aided: Some sugar-relief drugs such as SSGLT-2 inhibitor, DPP-4 inhibitor can be used to control blood sugar fluctuations by reducing liver sugar output or increasing insulin insulin. 4. Monitoring and documentation: The use of continuous blood sugar monitoring (CGM) equipment to record changes in blood sugar at night helps to determine precisely the causes of the rise and to develop response programmes. The conclusion, “Dawn phenomenon”, is a challenge for many diabetes patients, but early morning blood sugar rises can be effectively controlled by adjusting lifestyles, optimizing drug use and enhancing monitoring. Each individual is in a different state of health and therefore needs to find the best way to cope with it under the guidance of a doctor.