
Your client wants to discuss a concern about overnight hypoglycemia alerts on the CGM. These hypoglycemia alerts have been happening intermittently and only in the overnight hours. The client reports no changes in diet, activity, or insulin doses over the past 2 weeks. These events are asymptomatic, and the client reports that these episodes resolve rapidly before they can get to the kitchen to treat the hypoglycemic event. What is the best plan of action for this client?
- Advise the client to eat a high-carbohydrate snack before bed to avoid hypoglycemia.
- Advise the client to verify the asymptomatic hypoglycemia with a fingerstick blood
glucose reading and treat if hypoglycemia is verified. - Advise the client only to treat hypoglycemia if they are symptomatic.
- Advise the client to decrease their basal insulin dose.
ReVive 5 Diabetes Training Program

This unique training program is led by two experts in the field, Larry Fisher, PhD and Susan Guzman, PhD. Join us live on July 15th and July 22nd, 2025 from 9:00 am to 12:00 pm PST for this one-of-a-kind training that will transform your approach to caring for people with diabetes.
In the first half, you will learn how to identify distress and provide therapeutic coaching and care based on the results. Coach Beverly leads the second half, walking participants through the 5 step process of reviewing glucose data and addressing distress.
The ADA Standards of Care now recommends annual screening for diabetes distress. If you are wondering how to screen for distress and tailor education based on the results, we encourage you to join this unique training program.
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Recent Blog Bytes
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- Question of the Week | Managing Overnight Hypoglycemia: Best Plan?
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