Dawn Phenomenon: Some people may see a SPIKE (rise) in blood sugar levels early in the morning.

• Cause: Triggered by natural hormonal surges in the early morning (such as cortisol and growth hormone) which increase blood glucose levels.

• Management: Generally no need to adjust regimen, but can discuss with healthcare team if noticing this occurring.

• Monitoring: Regular monitoring of blood glucose levels in the early morning can help identify.