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What happens to blood glucose overnight - Dr Pratik ... - Dafne

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The dawn<br />

phenomenon<br />

• > 10,000 patients surveyed<br />

• Marked basal rise between<br />

0400 - 0800 in post pubertal<br />

patients.<br />

• Seen in 20-30% T1 pts<br />

• Due <strong>to</strong> a rise in frequency<br />

and amplitude of growth<br />

hormone pulses through the<br />

night<br />

• Possible contribution from<br />

increase in cortisol in the<br />

morning<br />

Bachran et al; Pediatric Diabetes 2012: 13: 1–5

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