CASE 26
A 56-year-old male presents to your clinic for follow-up on his diabetes. He
has had diabetes since the age of 12 and has always required insulin for ther-
apy. He reports feeling very tremulous and diaphoretic at 2 AM with the blood
sugars in the range of 40 mg/dL, which is very low. He, however, notes that
his morning fasting blood sugar is high without taking any carbohydrates. His
physician describes the morning high sugars as a result of biochemical
processes in response to the nighttime hypoglycemia.
What are the biochemical processes that govern the response to the
nighttime hypoglycemia?
previous page 247 Case Files   Biochemistry read online next page 249 Case Files   Biochemistry read online Home Toggle text on/off