Somogyi effect

• Facts:
  Nocturnal hypoglycemia leading to a surge of counterregulatory hormones (epinephrine, norepinephrine, glucagon) leading to hyperglycemia in the morning
• Treatment:
  Decrease nighttime NPH dose
• See Also:
  Dawn phenomenon
• Associated With:
  Diabetes mellitus type I
• Keywords:
  Early morning hyperglycemia