黎明现象（Dawn phenomenon）.docVIP

黎明现象（Dawn phenomenon） Youre the diabetic dawn phenomenon Diabetic dawn phenomenon and clinical treatment of early hyperglycemia of diabetes (DM) control mainly poor, but also a key DM quality control, while the foreign study found that 99% of the morning high DM dawn phenomenon (DP) [1].DP are common in DM patients and the normal population, especially in DM patients with outstanding performance, become the difficulty to closely control DM. We must overcome diabetic dawn phenomenon (DMDP) and its treatment progress is summarized as follows. 1 the concept and diagnosis of DMDP DMDP is DM in patients with nocturnal glycemic control is adequate and stable, no low blood sugar condition, at dawn (3~9 a.m.) by the imbalance between the secretion of various hormones caused by a morning hyperglycemia of.DP occurred in DM patients, it can also be seen in healthy people. Attention should be paid to DMDP and other reasons the morning high phase identification, such as Hypoglycemic agent or insulin (INS) caused by insufficient night night based hyperglycemia continues to early morning high, hypoglycemic agents caused by excessive nocturnal hypoglycemia reaction after hyperglycemia (Somogyi). In addition to diagnosis whether the patients have fatigue, palpitation, hunger and sweating and other symptoms of low blood sugar, urine sugar and hypoglycemic agent before use the night, every 1~2 hours to monitor a venous or capillary blood glucose, or blood glucose monitoring blood glucose monitor last night, and make the correct diagnosis according to the blood sugar at night rendering curve. The current use of nocturnal glucose micro strip glucose monitoring night finger capillary blood glucose, slightly higher than venous blood glucose, a good correlation between.DMDP, identification and characteristics continue night and Somogyi phenomenon of elevated blood glucose at night based blood glucose curve as shown in Figure 2. The possible mechanism of antagonistic hormones DMDP 2.1 INS L