The nurse is caring for a patient with type 2 diabetes mellitus.Which symptoms should the nurse recognize as indicating the patient is experiencing a Somogyi effect? (Select all that apply.)

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The Somogyi effect may be at fault when the patient's blood glucose seems to be rising in spite of increasing insulin doses.If insulin levels are too high,the blood glucose may drop too low,stimulating release of counterregulatory hormones (epinephrine,glucagon,corticosteroids,growth hormone)that then elevate the blood glucose.The low glucose levels often occur during the night,and the patient may report night sweats or morning headaches.The high morning glucose is then interpreted as hyperglycemia,and the insulin dose may be further increased,compounding the problem.B.C.These are not manifestations of the Somogyi effect.

The Nurse Is Caring for a Patient with Type 2