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Question of the Week | What explains nocturnal hyperglycemia?

JR is 11 years old with type 1 diabetes and their parent shares their concern that the blood glucose seems to be rising overnight with morning hyperglycemia. The parent is worried that JR may be sneaking snacks in the night.

As a diabetes specialist, you know that this glucose rise is most likely due to:

  1. Overnight hormonal fluctuations.
  2. Nocturnal hypoglycemia followed by hyperglycemia.
  3. Slow onset of diabetes ketoacidosis.
  4. Insuilin pump or CGM malfunction.

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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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