16 Questions
What is the primary reason for the failure to initiate insulin therapy in type 2 diabetes patients?
Misconception that insulin is a treatment of last resort
What is the characteristic of type 2 diabetes that allows patients to survive with little or no endogenous insulin production?
Ability to prevent hyperglycemia with other agents
What is the effect of the duration of diabetes on the likelihood of requiring insulin therapy in type 2 diabetes patients?
It increases the likelihood of requiring insulin therapy
What is the primary reason for the progression from oral agents to multiple daily injections or insulin pumps in type 2 diabetes patients?
Suboptimal results from oral agents
Why is insulin a relative indication in type 2 diabetes patients?
When other modalities cannot maintain acceptable blood sugars
What is the characteristic of type 1 diabetes that distinguishes it from type 2 diabetes?
Absolute insulin deficiency
What is a common characteristic of many newly diagnosed type 2 diabetes patients?
Some level of beta cell failure
What is the primary reason for admitting patients with severe intercurrent illness to the hospital?
For insulin dose adjustment
What is the result of high-dose glucocorticoid therapy on insulin dose?
It greatly increases insulin dose
What is the advantage of insulin pump therapy over multiple daily injections?
It provides more flexibility in meal planning
When can insulin be withdrawn and oral therapy resumed in patients with type 2 diabetes?
When metabolic control has improved and stabilized
What is the primary goal of insulin therapy in type 2 diabetes patients?
To cover insulin resistance and provide improved metabolic control
What is the most important factor to consider when starting insulin therapy in type 2 diabetes patients?
Glycemic control is insufficient to limit or prevent complications
How do patients on multiple injections determine if adjustments are needed in their insulin dose?
By assessing their fasting and pre-meal glucose levels
What is the role of self-monitoring of blood glucose in insulin therapy?
To understand the role of basal and pre-meal insulin doses on blood glucose levels
What is essential for managing type 2 diabetes mellitus, a progressive disease?
Insulin therapy
Test your knowledge on the differences between Type 1 and Type 2 diabetes, including causes, symptoms, and treatment options. Learn about insulin resistance, insulin deficiency, and how to manage blood sugar levels.
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