We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Somogyi Phenomenon

Richard K. Bernstein, MD
Arch Intern Med. 1985;145(3):575. doi:10.1001/archinte.1985.00360030227050.
Text Size: A A A
Published online


To the Editor.  —Dr Raskin's1 recent contribution is possibly the first article to critically survey the literature relating to blood glucose (BG) overshoot. Hopefully it will open the eyes of the medical community to a myth that has served for years as one of the excuses for accepting as "physiologic" the roller coaster BG levels prevalent in insulin-dependent diabetes mellitus (IDDM).When I first became diabetic in the mid-1940s, we were taught not to overeat for attacks of hypoglycemia, and, above all, to consume the most rapidly acting carbohydrate we could find. In those days, unfortunately, pure glucose was not readily available to patients and we had to make do with packets of the slower-acting disaccharide—sucrose (table sugar). Then in the 1950s, Somogyi's crude studies began to influence the medical community and, in time, the Somogyi effect gained widespread usage as one of the several excuses for the "impossibility"


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.