AANP Adult Gerontology Primary Care Nurse Practiotioner Practice

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What is the Dawn Phenomenon?

An elevation in blood glucose before breakfast

The Dawn Phenomenon refers to the physiological process where there is an elevation in blood glucose levels in the early morning hours, typically before breakfast. This rise in glucose is attributed to the natural hormonal changes that occur in the body, particularly the action of hormones such as cortisol, glucagon, and epinephrine. These hormones generally increase insulin resistance, leading to higher levels of sugar in the bloodstream as the body prepares to wake up.

In individuals without diabetes, this phenomenon is usually well-regulated by insulin production, but for those with diabetes, the impaired insulin response may cause significant elevations in morning glucose levels. Understanding this concept is crucial for managing blood sugar levels effectively, especially in diabetic patients who need to adjust their medication or dietary intake accordingly.

The other options describe various aspects of glucose metabolism but do not align with the definition of the Dawn Phenomenon, which specifically addresses the early morning increase in blood sugar.

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A drop in blood glucose overnight

Excessive insulin administration in the evening

A sudden rise in blood sugar after eating breakfast

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