16 Questions
What is the primary goal of an ideal insulin regimen?
To achieve glycemic targets with minimal weight gain and hypoglycemia
Why should older adults avoid high-risk insulin regimens?
Due to the increased probability of poor injection administration and unstable meal consumption
How do insulin sensitivity and secretory capacity change with age?
They decrease, leading to higher postprandial glucose levels
What is the primary reason for switching from basal insulin to premixed insulin in older patients?
To simplify the regimen and improve adherence
What is the consequence of providing too much exogenous insulin too early?
Weight gain and a decline in physical function
What is the typical initiation strategy for insulin therapy in type 2 diabetes?
Beginning with a bedtime dose of intermediate- or long-acting insulin
What is the primary consequence of chronic hyperglycemia in pancreatic beta cell function?
Adverse effects on beta cell function
Why is maintaining near-normal glycemia crucial in diabetes management?
To prevent long-term microvascular complications
What is the estimated number of people over the age of 65 living in the United States?
46 million
What percentage of people over the age of 65 have diabetes?
20%
Why is diabetes often underreported in older adults?
Due to atypical presentations of disease
What is a crucial consideration when managing insulin therapy in elderly patients?
Minimizing hypoglycemia
What is a key factor affecting insulin dosing in geriatric patients?
Glycaemic threshold for symptom onset
What is the goal of individualizing glycemic targets in elderly patients?
To lower A1C levels
What is the proposed method of insulin dosing in elderly patients?
Starting therapy at a lower dose and titrating upward
What is the key challenge in managing insulin therapy in elderly patients?
All of the above
This quiz covers the principles of achieving optimal glycemic control in older adults with minimal side effects, including hypoglycemia and weight gain. It focuses on dose adjustments and problem-solving strategies to individualize insulin regimens. Test your knowledge of insulin therapy in this age group!
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