Somogyi? a thing or not?

[Terry4]

I made a comment on the Somogyi effect back in 2017.

Flatline glucose curve at 50

I started using a CGM in 2009. I have witnessed many events (dozens!) where my blood glucose would skyrocket after a hypo event while sleeping. Typically this hypo would last more than 20 minutes and would often range down to < 55 mg/dL. I learned after repeated episodes to go very lightly with my hypo treatments. If this happened near the end of my sleep, I would have to skip breakfast or face hyperglycemia well into the afternoon. If I treated with, say 4 glucose tabs or 16 grams of carbohyd…

It was during this thread that I realized that this counter-regulatory response to sustained hypos was not universally shared by others with diabetes.