title: Surreptitious insulin overdosing in adolescents with type 1 diabetes.
abstract: BACKGROUND
  Hypoglycemia in children and adolescents with type 1 diabetes has diverse etiologies.
  
  
  METHODS
  We report recurrent hypoglycemia in three children with type 1 diabetes because of insulin overdose.
  
  
  METHODS
  Hospitalization and counselling by treating team and psychologist helped in resolving the recurrent hypoglycemia.
  
  
  RESULTS
  Improvement in glycemic control was achieved.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department 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.
authors.forename: Vandana
authors.initials: V
authors.lastname: Jain
authors.forename: Amit Kumar
authors.initials: AK
authors.lastname: Satapathy
authors.forename: Jaivinder
authors.initials: J
authors.lastname: Yadav
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000187:drug effects / Q000502:physiology; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D007003:Hypoglycemia / Q000188:drug therapy / Q000523:psychology; D007328:Insulin / Q000009:adverse effects / Q000627:therapeutic use; D008297:Male; D055118:Medication Adherence
chemical_list: D001786:Blood Glucose; D007328:Insulin