Hypoglycemia followed by rebound hyperglycemia is observed in those with:

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The Somogyi effect refers to a phenomenon where an individual experiences a drop in blood glucose levels (hypoglycemia) followed by a compensatory increase in glucose levels (rebound hyperglycemia) due to the body's counter-regulatory hormonal response. This typically occurs in individuals with diabetes who may be taking insulin or insulin secretagogues. When blood glucose falls too low, the body releases hormones such as glucagon, epinephrine, and cortisol to raise blood sugar levels. This process can lead to a state of hyperglycemia after the initial hypoglycemia resolves.

In contrast, the dawn phenomenon is characterized by a natural increase in blood glucose levels that occurs in the early morning hours due to hormonal changes. This does not involve a preceding hypoglycemic episode. Diabetic ketoacidosis is a serious complication of diabetes that results from insulin deficiency, leading to high levels of ketones and significant metabolic disturbances, but it does not typically present with the pattern of hypoglycemia followed by rebound hyperglycemia. Hyperosmolar hyperglycemic nonketotic syndrome involves extremely high blood sugar levels without significant ketoacidosis, but it also does not feature the cyclical effect of hypoglycemia followed by rebound hyperglycemia.

Thus, the Som

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