Individualized Insulin Dosing Plan

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What is a primary goal of an individualized plan for insulin dosing?

To ignore the patient's prior experiences with insulin dosing
To encourage patients to adjust their dose based on their unique needs (correct)
To provide a static dose of insulin
To revert to a previous dose in case of undesired effects

What is a key factor in developing an individualized plan for insulin dosing?

Ignoring the patient's knowledge and attitude towards insulin dosing
Providing a fixed percentage of the total daily insulin dose
Focusing solely on the patient's glycemic goals
Assessing the patient's current method and prior experiences (correct)

What is a common consequence of not considering individual factors when adjusting insulin dose?

Patient frustration and reverting to a previous dose (correct)
Increased patient knowledge of insulin dosing
Improved patient adherence to the insulin dosing plan
Enhanced patient-provider communication

What is a benefit of using cognitive-behavior strategies in insulin dosing plans?

Promoting adherence to the insulin dosing plan (C) Signup and view all the answers

What is a characteristic of collaborative or nurse-led insulin dosing algorithm interventions?

An ongoing, two-way exchange of information between patient and provider (D) Signup and view all the answers

What is an important consideration when determining how to alter the insulin regimen?

Important factors contributing to hyperglycemia and hypoglycemia (C) Signup and view all the answers

What is the primary consideration in determining glycemic goals for patients with diabetes?

Risk of developing hypoglycemia unawareness and severe hypoglycemia (A) Signup and view all the answers

What is the consequence of high blood glucose excursions in patients with diabetes?

Development of diabetic complications (D) Signup and view all the answers

What is the ultimate goal in diabetes management?

Achieving ideal glycemic control (A) Signup and view all the answers

What is the consequence of hypoglycemia unawareness in patients with diabetes?

Adverse effects on cognition, cardiac rhythm, and in some cases death (D) Signup and view all the answers

What is the importance of individualized approach to therapy in diabetes management?

To identify and prevent high and low blood glucose excursions (A) Signup and view all the answers

What is the importance of maintaining near-normal glycemic control in diabetes management?

To prevent diabetic complications and maintain optimal health (B) Signup and view all the answers

What is the primary benefit of using patient-focused worksheets or decision aids in insulin dosing plans?

To help patients understand the cause-and-effect relationship between insulin dosing changes and their glycemic outcomes (A) Signup and view all the answers

What is the classification of glycemic control based on HbA1c levels?

Good, fair, poor, and very poor (A) Signup and view all the answers

What is the primary purpose of basal insulin in the basal/bolus regimen?

To control glucose levels between meals and overnight (D) Signup and view all the answers

What is the main determinant of prandial insulin requirements?

Carbohydrate intake (C) Signup and view all the answers

What is the potential benefit of tailoring insulin regimens to individual needs?

Improved quality of life and prevention of microvascular or neurologic complications (D) Signup and view all the answers

What is the purpose of the 'treat to target' algorithm in insulin dosing?

To compare a patient's current insulin regimen and dose with their desired HbA1c level (D) Signup and view all the answers

What is the primary advantage of using insulin algorithms in insulin dosing?

They make insulin dosing reliable, safe, and effective for the patient (D) Signup and view all the answers

What is the importance of lifestyle intervention in diabetes management?

It should be continued and optimized for glycemic control in all patients with diabetes (A) Signup and view all the answers

What is a potential side effect of insulin therapy?

Hypoglycemia (D) Signup and view all the answers

What is the benefit of individualized insulin dosing plans in patients with diabetes?

They ensure optimal glucose control and prevent complications (C) Signup and view all the answers