26 Questions
What is the primary consequence of a mismatch in insulin to carbohydrate ratio in diabetes patients?
Postprandial hyperglycemia
What is the term used to describe a high blood sugar level after a meal?
Postprandial hyperglycemia
What is the potential outcome of improving postprandial glucose control in diabetes patients?
Decreased risk of microvascular disease
What is the mainstay of therapy for type 1 and type 2 diabetes patients?
Insulin
What is the term used to describe a change in diet composition with insulin dose remaining constant?
Carbohydrate and calorie drift
What is the potential benefit of matching prandial insulin doses to carbohydrate content and providing correct basal insulin doses?
Improved glucose control with minimized hypoglycemia frequency and severity
What is the primary goal of balancing a patient's cultural dietary habits with overall good glucose control?
To ensure effective insulin therapy
Why is education crucial in certain cultural situations?
To dispel beliefs that diabetes complications are inevitable
What is a potential drawback of using mixed insulins in geriatric insulin dosing?
Increased risk of hypoglycemia
Why is it important to avoid high-risk regimens involving once or twice daily injections of premixed insulin?
Due to the potential for poor injection administration
What is the primary benefit of providing psychological and emotional support in insulin dosing?
Addressing issues of control, autonomy, self-image, and fears of hypoglycemia
What is the prevalence of diabetes mellitus in older adults aged 65-75 years?
22.9%
What is the role of diet diaries in insulin dosing?
To get a good idea of the patient's eating patterns
Why is it essential to maintain near-normal glycemia in diabetes patients?
To prevent both microvascular and macrovascular complications
What is the characteristic of insulin therapy that is commonly initiated in older patients with type 2 diabetes?
Basal insulin or combination with oral hypoglycemic agents
What is the consequence of aging on insulin sensitivity and secretory capacity?
Decreased insulin sensitivity and secretory capacity
What is the primary reason for adjusting insulin regimens during pregnancy?
To address the changing insulin requirements
What is the preferred treatment for achieving optimal diabetes control in Type 1 diabetes?
Basal-bolus regimen
What is the benefit of intensive insulin therapy in patients with acute stroke?
Improved outcomes without increasing the risk of hypoglycemia
What is the most precise and effective method of glycemic control in intensive care unit patients?
Continuous intravenous insulin infusion
What is the primary goal of insulin dosing in hospitalized patients with diabetes?
To keep blood glucose levels below 10 mmol/L
What is a common challenge in managing diabetes in outpatient settings?
Patient fear and provider ignorance
What is the benefit of rapid-acting insulin analogues in type 2 diabetes?
Showed some promise in type 2 diabetes
What is the potential benefit of smart insulin delivery in diabetes care?
Revolutionizing the management of chronic diseases
What is the consequence of failure to adjust insulin doses according to blood glucose concentrations in hospitalized patients?
Increased risk of hypoglycemia
What is the target blood glucose range for general medical and surgical patients?
6-10 mmol/L
Test your knowledge on managing postprandial glucose levels in diabetes patients, including the causes of erratic levels and the importance of improving control to reduce morbidity. Learn how to adjust prandial insulin doses to individual needs and more.
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