Abstract
It is not a constant phenomenon, the patient affects with varying intensity, but it can aggravate the overall diabetes compensation. It has the effect of hormones (growth hormone, cortisol), whose production rises physiologically above the morning.
However, in the case of diabetic patients, it is not sufficiently opposed by an adequate increase in insulin production. Other pathogenetic mechanisms (eg dysregulation of growth hormone secretion) are also used.
A solution for patients requiring an intensified insulin regimen is either the choice of another basal insulin analogue or insulin pump therapy. The presence of the dawn phenomenon is one of the indications for initiating insulin pump therapy.
For patients with type 2 diabetes who have not yet been treated with insulin, the solution for basal insulin analogue application before bedtime.