insulin rebound, extreme fluctuations in blood glucose levels as a result of overreaction of the body’s homeostatic feedback mechanisms for control of glucose metabolism. When exogenous insulin is given, the hypoglycemia triggers an outpouring of glucagon and epinephrine, both of which raise the blood glucose concentration markedly, so that, although the patient may actually have periods of hypoglycemia, urine and blood glucose tests will show hyperglycemia. ▪ OBSERVATIONS: When exogenous insulin is given, the hypoglycemia triggers an outpouring of glucagon and epinephrine, both of which raise the blood glucose concentration markedly, so that although the patient may actually have periods of hypoglycemia, urine and blood glucose tests will show hyperglycemia. ▪ INTERVENTIONS: Treatment is aimed at modifying the extremes by gradually lowering the insulin dosage so as to reduce stimulation of the feedback system of glucose regulation. ▪ PATIENT CARE CONSIDERATIONS: The patient may need to take smaller doses of insulin or take it at more frequent intervals and at different times during the day.
