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How np differentiate the somogyi effect


Problem: A child with type 1 diabetes mellitus brings in a glucose diary indicating consistent morning hyperglycemia. How can the NP differentiate the Somogyi effect from dawn phenomenon? Need Assignment Help? A. Experiment with a smaller insulin does in the evenings B. Increase the insulin dose and liberalize the child's diet C. Check HgbA1C today and again in 3 months D. Instruct the patient to monitor the blood glucose at 3:00am

 

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