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Surreptitious insulin overdosing in adolescents with type 1 diabetes. BACKGROUND: Hypoglycemia in children and adolescents with type 1 diabetes has diverse etiologies. CASE CHARACTERISTICS: We report recurrent hypoglycemia in three children with type 1 diabetes because of insulin overdose. INTERVENTION: Hospitalization and counselling by treating team and psychologist helped in resolving the recurrent hypoglycemia. OUTCOME: Improvement in glycemic control was achieved. MESSAGE: Adolescents with type 1 diabetes may take extra insulin to consume more carbohydrates, or to seek attention. Parents should share the responsibility of care of adolescents during transition phase for better glycemic control.