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| SPECIALIST ANSWERS
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Question |
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Female patient 16 years old with diabetes mellitus diagnosed one year ago and given insulin as two doses one on the morning and second in the evening. her glucose level is about 130----200 attaks of hypoglycemia at 3 am occures since diagnosis three days ago developed resistant hypoglycemia even after stopping insulin. what possible causes " what management?
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This child is getting too much intermediate acting insulin at night. We need reduce intermidiate insulin at night and possibly add insulin Glargine and actrapid at night. We must off course see the patient and then do it.
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