Does short-term nocturnal hypoglycaemia increase morning food intake in healthy humans?
In healthy subjects, nocturnal hypoglycaemia during sleep stimulates spontaneous food intake the following morning, with carbohydrate intake being especially affected. Effects were more pronounced after 'late hypo', suggesting the influence of temporal dynamics. Although healthy non-diabetic subjects were studied, similar mechanisms may contribute to the frequently observed body weight gain in insulin-treated diabetic patients.
Residents in this setting found CNMP management to be difficult. They lacked confidence in managing CNMP and did not gain confidence over the course of training. Substantial opportunities exist for improving resident education in CNMP.