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April 12, 2024

A 32-year-old male with type 2 diabetes takes regular insulin with meals and a basal insulin in the evening.

A 32-year-old male with type 2 diabetes takes regular insulin with meals and a basal insulin in the evening. He has recently been playing rugby every afternoon and has noticed a drop in his blood glucose to levels below 50 mg/dL in the early hours of the morning. Just before breakfast, he checks his blood glucose level and it has been higher than normal. Which of the following is responsible for the variation in his blood glucose? • A. Insulin resistance • B. Somogyi phenomenon • C. Sundowning • D. Raynaud’s phenomenon

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