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Surreptitious insulin overdosing in adolescents with type 1 diabetes
Vandana Jain1, Amit Kumar Satapathy, Jaivinder Yadav
1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Vandana Jain, Additional Professor, Division of Pediatric Endocrinology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. drvandanajain@gmail.com.
Background:
Hypoglycemia in children and adolescents with type 1 diabetes has diverse etiologies.
Case Characteristics:
We report recurrent hypoglycemia in three children with type 1 diabetes because of insulin overdose.
Intervention:
Hospitalization and counselling by treating team and psychologist helped in resolving the recurrent hypoglycemia.
Outcome:
Improvement in glycemic control was achieved.
Message:
Adolescents with type 1 diabetes may take extra insulin to consume more carbohydrates, or to seek attention. Parents should share the responsibility of care of adolescents during transition phase for better glycemic control.