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3 Cards in this Set
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Definition: nighttime hypoglycemia followed by dramatic inc in fasting glucose levels and inc plasma ketones
what confirms dx? Tx? |
Somogyi Effect
confirms: Hypoglycemia at 3am Tx: give Long-acting insulin at bedtime (instead of NPH) hyoglycemia at 3 AM because of epinephrine, NE and glucagon which increases rate of glycogenolysis and gluconeogenesis |
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Definition: exaggeration of the normal tendancy of plasma glucose to rise in the early morning hours before breakfast what may it be caused by?
First step in Tx? |
Dawn phenomenon By: inc in GH secretion
Tx: move nighttime insulin closer to bedtime pts have hyperglycemia at 3 AM and 7 AM |
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Minimal Change Dz
Tx: |
Prednisone
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