Abstract

• Severe nocturnal hypoglycemia may manifest as complex abnormal sleep behaviors. • Nocturnal hypoglycemia must be ruled out in diabetics with new-onset parasomnia. • Behaviors are complex, prolonged, and recurring, with a fixed, early-morning onset. • Hypoglycemia-related nocturnal behaviors completely resolve with glycemic correction. • Home-recorded videos may be highly valuable for diagnostic workup of sleep disorders.

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