The differential diagnosis of fasting hyperglycemia in type I diabetes includes the Somogyi effect, the dawn phenomenon, and insufficient insulin administration. To determine the causes of fasting hyperglycemia and their effect on subsequent daytime blood glucose control, the authors retrospectively reviewed blood glucose profiles of 126 patients with type I diabetes. The Somogyi effect accounted for 12.6% of all instances of fasting hyperglycemia, the dawn phenomenon, 24.1%, and poor control, 63.3%. Measurement of 3 AM and 5 AM blood glucose values is the key to making a correct diagnosis. Once a patient's fasting hyperglycemia is placed in one of these groups, appropriate treatment can be started.

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John Henry Newman once remarked to a friend that his Dream of Gerontius. “was written by accident — and it was published by accident”, yet his personal history proves otherwise; it was the fruit of many years of agonizing study and prayer leading him to the Roman Catholic Church. It is rightly considered a major contribution to Roman Catholic spirituality and doctrine which continues to inspire theology and piety.The Dream of Gerontius expresses in poetical form many truths of Catholic dogma concerning creation, redemption and eschatology. This, Newman’s longest poem, composed in 1865, almost twenty years after his entrance into full communion with the Roman Catholic Church, underscores his Catholic beliefs in the mysterious complementarity between God’s justice and mercy whereby at the particular judgment, some souls require a final preparation for heaven. In his Plain and Parochial Sermons Newman had rebutted the 19th century denial of possible eternal damnation. In the Dream of Gerontius, he emphasized God’s merciful dispensation. Eschatology is intertwined with Christology and Christian anthropology. Furthermore, the seeds of an ecclesiology of communion are present as a dominant theme.