Case Based Collaborative learning on dealing with diabetes challenge

Recent challenges in diabetes management involves, maximum use of therapies to have suitable glycemic,blood pressure and lipid control and to reduce the chance of complications,and awareness of patients on self-management and improving patients lifestyle and dietary habits. Today our guest will be...

• A 68-year-old man with type 2 diabetes, managed with premixed insulin, experienced recent fasting hyperglycemia despite a normal HbA1c of 5.6%. A continuous glucose monitor revealed nighttime hypoglycemia followed by rebound hyperglycemia in the morning, indicating Somogyi phenomenon. This was linked to the patient frequently missing his bedtime snack, leading to low glucose levels during the night.