Identifying the exact profile of your nighttime glucose trends is essential for choosing the right treatment strategy. Metric / Scenario Early Night Dip & Spike (Somogyi) Steady Midnight Rise (Dawn/Basal Insufficiency) Delayed Post-Meal Spike (Fat/Protein Effect) Low (Below 70 mg/dL) Normal or slightly elevated Normal or stable Glucose Trend at Hour 4 High (Above 140 mg/dL) High (Above 140 mg/dL) High (Above 140 mg/dL) Primary Driver Counter-regulatory hormones Growth hormone or lack of baseline insulin Delayed digestion and gastric emptying Primary Solution Reduce evening basal dose or add a balanced snack Increase basal dose or adjust insulin timing Adjust bolus splits or reduce late-night fat intake Actionable Strategies to Prevent the Spike
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Once you have identified the underlying cause of your late-night spike, you can work alongside your healthcare provider to implement targeted interventions. Optimize Insulin Timing and Delivery Identifying the exact profile of your nighttime glucose
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