What is the hypothesized result of the Somogyi Effect in diabetic patients?

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The Somogyi Effect refers to a phenomenon observed in diabetic patients where a period of hypoglycemia (low blood sugar) is followed by a rebound hyperglycemia (high blood sugar) due to the body's counter-regulatory mechanisms. When blood sugar levels drop too low, the body responds by releasing hormones such as glucagon and epinephrine, which stimulate gluconeogenesis and glycogenolysis in the liver, leading to an increase in blood glucose levels.

This effect commonly occurs when insulin doses are too high, particularly overnight, which can cause nocturnal hypoglycemia. In the morning, the result is elevated blood sugar levels as the body attempts to correct the low glucose levels it experienced earlier in the night. Thus, the correct answer highlights the relationship between hypoglycemia and the subsequent high insulin levels that can trigger this compensatory response, leading to hyperglycemia.

Stable blood sugar levels throughout the day are not consistent with the Somogyi Effect, which is characterized by fluctuations in blood glucose. High blood sugar levels after a meal are typical in diabetes but do not specifically relate to the Somogyi phenomenon. Similarly, while insulin resistance can lead to hyperglycemia, it is not the mechanism that defines the Somogyi Effect

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