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Ideal Insulin Regimen for Older Adults

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Questions and Answers

What is the primary goal of an ideal insulin regimen?

To minimize the number of daily injections

To prioritize weight loss over glycemic control

To achieve glycemic targets with minimal weight gain and hypoglycemia (correct)

To focus on mitigating hypoglycemia without considering glycemic targets

Why should older adults avoid high-risk insulin regimens?

Because they are more likely to experience weight gain

Due to the increased probability of poor injection administration and unstable meal consumption (correct)

Because they are more susceptible to hypoglycemia

Because they are less likely to adhere to the regimen

How do insulin sensitivity and secretory capacity change with age?

They first increase, then decrease, with no impact on glucose levels

They remain unchanged, with no impact on glucose levels

They increase, leading to lower postprandial glucose levels

They decrease, leading to higher postprandial glucose levels (correct)

What is the primary reason for switching from basal insulin to premixed insulin in older patients?

To simplify the regimen and improve adherence Signup and view all the answers

What is the consequence of providing too much exogenous insulin too early?

Weight gain and a decline in physical function Signup and view all the answers

What is the typical initiation strategy for insulin therapy in type 2 diabetes?

Beginning with a bedtime dose of intermediate- or long-acting insulin Signup and view all the answers

What is the primary consequence of chronic hyperglycemia in pancreatic beta cell function?

Adverse effects on beta cell function Signup and view all the answers

Why is maintaining near-normal glycemia crucial in diabetes management?

To prevent long-term microvascular complications Signup and view all the answers

What is the estimated number of people over the age of 65 living in the United States?

46 million Signup and view all the answers

What percentage of people over the age of 65 have diabetes?

20% Signup and view all the answers

Why is diabetes often underreported in older adults?

Due to atypical presentations of disease Signup and view all the answers

What is a crucial consideration when managing insulin therapy in elderly patients?

Minimizing hypoglycemia Signup and view all the answers

What is a key factor affecting insulin dosing in geriatric patients?

Glycaemic threshold for symptom onset Signup and view all the answers

What is the goal of individualizing glycemic targets in elderly patients?

To lower A1C levels Signup and view all the answers

What is the proposed method of insulin dosing in elderly patients?

Starting therapy at a lower dose and titrating upward Signup and view all the answers

What is the key challenge in managing insulin therapy in elderly patients?

All of the above Signup and view all the answers