system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 69-year-old woman with type 2 diabetes mellitus has an HbA1c of 3.9% and has been using basal-bolus insulin to manage her diabetes for the past 5 years. She has been maintaining a healthy diet, taking her insulin as scheduled but her records show morning hyperglycemia before eating breakfast. To determine the cause of this hyperglycemia, you ask her to set an alarm and take her blood glucose at 3 am. At 4 am her blood glucose is 49 mg/dL. Which of the following statements best describes the management of this patient’s current condition?
assistant
She is experiencing Somogyi effect so her nighttime insulin should be decreased