-Consider Continuous glucose monitoring
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A patient with type 1 diabetes mellitus for 15 years begins having episodes of hypoglycemia. His glucose levels were previously stable and well controlled. There has been no recent change in his diet or insulin regimen.
What’s the most likely cause of the hypoglycemia? Answer: Renal disease
“The most common cause of hypoglycemia in previously stable, well-controlled diabetic patients who have not changed their diet or insulin dosage is diabetic renal disease.”