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?

<p>To simplify the regimen and improve adherence (A)</p> Signup and view all the answers

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

<p>Weight gain and a decline in physical function (D)</p> Signup and view all the answers

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

<p>Beginning with a bedtime dose of intermediate- or long-acting insulin (C)</p> Signup and view all the answers

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

<p>Adverse effects on beta cell function (C)</p> Signup and view all the answers

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

<p>To prevent long-term microvascular complications (D)</p> Signup and view all the answers

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

<p>46 million (D)</p> Signup and view all the answers

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

<p>20% (D)</p> Signup and view all the answers

Why is diabetes often underreported in older adults?

<p>Due to atypical presentations of disease (A)</p> Signup and view all the answers

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

<p>Minimizing hypoglycemia (A)</p> Signup and view all the answers

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

<p>Glycaemic threshold for symptom onset (A)</p> Signup and view all the answers

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

<p>To lower A1C levels (D)</p> Signup and view all the answers

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

<p>Starting therapy at a lower dose and titrating upward (A)</p> Signup and view all the answers

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

<p>All of the above (D)</p> Signup and view all the answers

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