LiverDump

Liver Dump or Dawn Phenomenon Treatments in Diabetes
Understanding Liver Dump or Dawn Phenomenon in Diabetes
Liver dump, dawn phenomenon, and dawn effect are common terms that describe the same condition.
It's an abnormally high early-morning fasting increase in blood sugar. It usually occurs between 2:00 AM
and 8:00 AM. It happens in everyone's body, but it has more impact on diabetics compared to ordinary
bodies. It's more common in people with type I diabetes than in people with type II diabetes.
Understanding the phenomenon can go a long way towards helping diabetics handle it.
The liver is responsible for the rise in glucose levels in the bloodstream. The mind, vital organs, the
production of red blood cells, and muscle tissue are continuously consuming sugar to operate (24 hours
daily ). After the sugar levels in the bloodstream fall, the brain sends a message, via hormones, to
release more sugar. At exactly the exact same time, these very same hormones signal the pancreas to
minimize the amount of insulin that is produced and released into the bloodstream. In a normal body,
the balance of sugar and insulin levels will be modulated. However, diabetics have diminished control
over this equilibrium. Type I diabetics and insulin-dependent type II diabetics don't produce, either
sufficient or any insulin. The insulin in their system depends upon periodic injections.
After the hormone insulin is out of equilibrium with all the other hormones (cortisol, glucagon, and
epinephrine), the liver will release a lot of sugar.
Additionally, as the result of normal hormonal changes, the body's internal clock admits that it's
morning, and the wake-up process starts. The hormones cause a rise in blood sugar levels. Nobody
actually knows what the specific cause of the phenomenon is, but many believe that it's increasing in
the hormones cortisol, glucagon, and epinephrine, which causes increases in insulin resistance. Insulin
resistance is a breakdown in mobile communication, leading to reduced levels of insulin attaching to cell
membranes, which, in turn, results from the cells not carrying glucose into burn as energy. Insulin
resistance is the principal cause of elevated blood sugar levels. Additionally, while sleeping, the body
carries out a process called gluconeogenesis.
Throughout gluconeogenesis, the body converts amino acids into glucose, like the release of stored
glycogen that the production of sugar from amino acids occurs in response to hormonal signals. The
body, during sleep, responds to signals from a number of diverse glands. The adrenal gland creates a

growth hormone. The adrenal gland produces cortisol. The alpha cells in the pancreas create glucagons.
The outer layer of the adrenal gland sends out epinephrine. Those hormones increase the blood sugar
level. There are specific procedures that may be applied to decide whether a patient gets the liver ditch
phenomenon.
There are other possible reasons for the dawn phenomenon. Insufficient amounts of insulin taken, or
Incorrect medication levels taken the night before may lead to increases in blood sugar levels.
High glycemic index foods (certain carbohydrates), can cause an increase in morning glucose levels,
Particularly if consumed just before bedtime, the only known way to determine if the dawn
phenomenon is present is to take blood sugar readings occasionally throughout the evening. High
Glucose readings during the night will signify if there are different causes, and remove the possibility
that the patient gets the phenomenon. If the patient exhibits high readings during the night, perhaps it
doesn't necessarily indicate that the phenomenon doesn't exist. The other potential causes should be
removed, like the type of snacks eaten before bed, incorrect medication.
A diet that's high in sodium will stimulate insulin and encourage hypoglycemia. A diet that's low in
sodium can encourage hyperglycemia. In certain instances (not commonly), the phenomenon could be
caused by a rebound from a low blood sugar level that has happened during the evening. This is usually
called the Somogyi effect.
The dawn phenomenon, unlike the Somogyi effect, it's not the consequence of antecedent (preceded
by) hypoglycemia; they aren't the identical condition. The insulin shot the night before might be wearing
off, which is usually due to too low of a dose. But, bigger doses may easily result in hypoglycemia during
the night. Only experimentation with food types and dosage levels will tell what the total effect will be.
Carbohydrate blockers, such as PGX, are proven to have a radical effect on morning glucose levels.
Another potential remedy is to increase the sum of water-soluble fiber in the diet, especially in the
evening meal. A number of studies have shown a green apple eaten as a night snack is successful

because the body digests green apples slower than other apple types. However, the ones who were
diagnosed with the dawn phenomenon, sometimes won't show any change. Nuts (or other fats and
proteins ) are a fantastic choice for a late-night snack. Unfortunately, late-night snacks may promote the
packing-on of additional pounds.
The tradition of taking a dose of vinegar or acidic products before bed does reveal a decrease in the
morning blood sugars on many people. Unfortunately, the body can't handle large increases in blood
pH, without leaching calcium from the bones. This may prove to be a dangerous practice, particularly for
women and elderly diabetics. Vinegar pills are lower in dose, and a little slower in conversion, which can
lower the risk to some degree. However, the majority of the recommended dosages are as large as six
tablets, which could cause the same effect. Also, acids encourage the growth in fat cells, as the body
tries to get rid of the acids by putting them in fat storage.
Diabetics that possess the dawn phenomenon don't have any symptoms which are associated with that.
Nocturnal hypoglycemia (low blood sugars), followed by morning hyperglycemia (high blood sugars) for
many nights, is a sign of the Somogyi effect. It might be necessary to get support from a physician to
solve it because most cases are caused by drugs that are mismatched to the patient's needs. Metformin,
a generic form of a parasitic oral drug (Glucophage), is known to suppress glucose production by the
liver, making it a fantastic candidate for patients having the dawn phenomenon. Metformin also
promotes insulin binding to cell membranes, which reduces insulin resistance. Diabetics that take these
oral drugs rarely have the dawn phenomenon.
While all diabetics should exercise, the timing of doing the exercises can affect the rebound effect of
nighttime hypoglycemia. It might be necessary to work out as early in the day as possible to prevent the
rebound effect. Exercise can trigger the metabolism to be elevated for many hours after exercise.
How long the patient continues to be diabetic; the quality of the patient's glycemic control; sleep
disorders; exercise; night snacks (especially carbohydrates); low or high sodium in the diet; the condition
of counter-regulation to hypoglycemia; and the patient's insulin sensitivity all can bring about the dawn
phenomenon. Begin by experimenting with night snacks. Switch to proteins such as nuts.
Or, stop the night snacks altogether. Make small adjustments to insulin levels and provide the change a
few days to function. Have a physician test the metabolic rate. Carefully monitor the amounts of sodium
in the diet. If sodium is a component of the diet, it needs to be sea salt. Insulin resistance results from
belly fat. It might be necessary to get rid of excess weight to get rid of insulin resistance and improve

sleep patterns. Determining if a patient gets the dawn phenomenon, can require the support of a
physician if drugs are responsible for the issue.
Learn about all aspects of diabetes type 2 such as the reason behind diabetes, diabetes control,
reversing the effects of diabetes on vital organs, protecting the body from damage due to diabetes,
weight loss and control, cholesterol, higher blood pressure, cardiovascular disease, eye health, insulin
resistance and a number of other important topics which are important to treating diabetes. Ayurveda
therapies for diabetes can also be helpful in the remedies.