Daily Care, Insulin

My nephew’s blood sugar drops very low for a couple of days, then goes up, so he needs insulin. Tests have not explained why he has this repeating pattern. What are your thoughts?

From: Bangalore, India

My nephew was diagnosed with diabetes in October 2014 and was prescribed insulin, which he was taking three times a day. In August 2015, he experienced hypoglycemia and insulin was stopped. After three days, his sugar level shot up to 500 mg/dl [27.8 mmol/L] so he was given insulin. His sugar dropped to 20 mg/dl [1.1 mmol/L], after which his insulin was stopped. He then was given tablets which did not help. Every third day, he goes into hypoglycemia in the evening for two days then his sugar shoots up to 400 to 500 mg/dl [22.2 to 27.8 mol/L] with or without medicine. We have done nearly all tests, including DOTA scans, MRI, and MODY test without any conclusive results. What are your thoughts?

Anaheim 2018

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