Dawn phenomenon

• Facts:
  Early morning hyperglycemia
  
  1) Decreased effectiveness of insulin
  2) Spikes of growth hormone release overnight
• History / PE:
  Hypergylcemia between 3AM and 7AM
• Treatment:
  Move nighttime insulin dose closer to bedtime
• See Also:
  Somogyi effect
• Associated With:
  Diabetes mellitus type 1