Surreptitious Insulin Overdosing in Adolescents with Type 1 Diabetes.

ABSTRACT

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 counseling 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.