EFEITO SOMOGYI PDF

Getting high blood sugars after a period of fasting is often puzzling to those not familiar with the Dawn Phenomenon. This effect is also seen during fasting, even during prolonged fasting. There are two main effects — the Somogyi Effect and the Dawn Phenomenon. The Somogyi effect is also called reactive hyperglycaemia and happens in type 2 diabetic patients on blood sugar lowering medications. The blood sugar sometimes drops in reaction to the night time dose of medication.

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Diabetes means your blood glucose, or blood sugar , levels are too high. If you can't control your diabetes with wise food choices and physical activity, you may need diabetes medicines.

The kind of medicine you take depends on your type of diabetes, your schedule, and your other health conditions. With type 1 diabetes , your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy.

Without insulin, too much glucose stays in your blood. If you have type 1 diabetes, you will need to take insulin. Type 2 diabetes , the most common type, can start when the body doesn't use insulin as it should. If your body can't keep up with the need for insulin, you may need to take pills. Along with meal planning and physical activity, diabetes pills help people with type 2 diabetes or gestational diabetes keep their blood glucose levels on target.

Several kinds of pills are available. Each works in a different way. Many people take two or three kinds of pills. Some people take combination pills.

Combination pills contain two kinds of diabetes medicine in one tablet. Some people take pills and insulin. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers.

Patients should address specific medical concerns with their physicians. Toggle navigation. Pharmacology Chapter.

From Related Chapters. Obstetrics Endocrine Medications in Pregnancy. Page Contents Page Contents Sitagliptin , Saxagliptin , Linagliptin Amylin Analogue e. Rosiglitazone Metformin Glucophage Start with basal Insulin e. Insulin Lispro if Hyperglycemia persists especially if post-prandial.

Preparations Insulin Resistance Agents Biguanide s e. Repaglinide may be used as alternative but more expensive Consider for as needed pre-meal dosing in post-prandial Hyperglycemia Step 3: Add third agent Thiazolidinedione s or Glitazone s e. Invokana Basal Insulin e. Rosiglitazone Postprandial Hyperglycemia Insulin deficiency Meglitinide s e.

Repaglinide Alpha-glucosidase Inhibitor s Agents with greatest effect based on body habitus Obese patients Metformin Glucophage Thiazolidinedione s e. Glipizide or Meglitinide e. Repaglinide Sitagliptin Januvia Insulin Avoid agents with lower efficacy, higher cost, and less tolerability Alpha-glucosidase Inhibitor s e. Acarbose Meglitinide s e. Nateglinide , Repaglinide. Lispro and should not be combined with Sulfonylurea s Higher risk with Sulfonylurea s especially Glyburide and to a lesser extent Meglitinide s e.

Actos Gastrointestinal side effects e. Januvia Liver toxicity Thiazolidinedione s e. Invokana Euglycemic Ketoacidosis risk esp. Actos DPP-4 Inhibitor s esp. Saxagliptin and Alogliptin , while other Gliptin s do not appear to carry this risk Fracture risk Thiazolidinedione s e. Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Ontology: Hypoglycemic Agents C Definition MSH Substances which lower blood glucose levels.

Related Topics in Pharmacology. Endocrinology Chapters. Endocrinology - Pharmacology Pages. Back Links pages that link to this page. Search other sites for 'Oral Hypoglycemic'. Page Contents Substances which lower blood glucose levels. Pharmacologic Substance T Agents, Hypoglycemic , Hypoglycemic Agents , hypoglycemic agent , Drugs, Hypoglycemic , Hypoglycemic Drugs , Hypoglycemics , Drugs for hypoglycaemia , Drugs for hypoglycemia , antihyperglycemic , Hypoglycaemic drug , Hypoglycemic drug , hypoglycemic drugs , hypoglycemic agents , hypoglycaemic , hypoglycemic , hypoglycemic drug , Agents, Antihyperglycemic , Antihyperglycemic Agents , Antihyperglycemics , Hypoglycemic Medicines , Diabetes Medicines , Hypoglycemic product product , Drugs for hypoglycemia product , Anti-hyperglycemics , Hypoglycemic agents , Hypoglycaemic , Hypoglycemic agent substance , Hypoglycemic , Hypoglycaemic agent , Hypoglycemic agent , Hypoglycaemic product , Hypoglycemic agent product , Hypoglycemic product , Hypoglycemic drug, NOS , Hypoglycaemic drug, NOS , Drugs for hypoglycemia substance , Hypoglycemic drug substance.

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The dawn phenomenon – why are blood sugars high in the morning?

Hipoglicemia como fator complicador no tratamento do diabetes melito tipo 1. Type 1 diabetic patients frequently present hypoglycemic episodes during their insulinotherapy, which, besides the discomfort and constrains does not allow the ideal glycemic control. Further, hypoglycemic events lead to the deficiency of the counter-regulation mechanisms in the subsequent episode, with a decrease in the release of epinephrine and the symptoms of warming, with great risk of severe hypoglycemia. Generally the connective recovery is total after correcting a hypoglycemic coma. However when these episodes are repetitive, particularly in children, they could result in definitive cognitive disturbances.

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