Chronic Somogyi rebound

Chronic Somogyi rebound is a contested explanation of phenomena of elevated blood sugars experienced by diabetics in the morning.

This theoretical phenomenon was named after Michael Somogyi [suh MOE jee], a Hungarian-born professor of biochemistry at the Washington University and Jewish Hospital of St. Louis, who prepared the first insulin treatment given to a child with diabetes in the US in October 1922.

[citation needed] The first line of defense in preventing chronic Somogyi rebound is additional blood glucose testing.

One simple way to determine if nocturnal hypoglycemia may be causing morning hyperglycemia is to have the patient have a high protein snack with a small amount of carbohydrates at bedtime.

[citation needed] Some practical behaviors which are useful in avoiding chronic Somogyi rebound are: Although this hypothesis is well known among clinicians and individuals with diabetes, there is little scientific evidence to support it.

Clinical studies indicate that a high fasting glucose in the morning is more likely because the insulin given on the previous evening fails to last long enough.