16 Questions
What is the primary goal of adapting insulin dosing based on the time-action profile?
To optimize glucose control and minimize adverse effects
What is the main difference between type 1 and type 2 diabetes patients regarding insulin therapy?
Type 1 patients require exogenous insulin for survival, while type 2 patients may initially tolerate oral agents
What is the limitation of insulin regimens in achieving optimal glucose control?
It is not yet possible to match exogenous insulin delivery as precisely as endogenous insulin secretion
What is the purpose of understanding insulin regimen-dependent and regimen-independent factors?
To help providers approximate a match between insulin delivery and patient need
What is the ultimate goal of insulin therapy?
To achieve optimal glucose control and minimize adverse effects
What is the significance of the time-action profile in insulin therapy?
It allows for adjusting insulin dosing to optimize glucose control
What is a key factor in determining insulin requirements for patients with type 2 diabetes?
Entry A1C level and BMI
Why may patients with severe hyperglycemia need an extra 30% of the insulin dose?
To maintain a lower A1C level
What is an important factor to consider when formulating insulin dosing regimens for patients with type 2 diabetes?
Carbohydrate intake and meal timing
What is the purpose of documenting the time of the meal, carb content of the food, and corresponding blood sugar and insulin dose?
To calculate the carb factor and mealtime insulin dose
What may happen if a patient starts a new exercise regime without adjusting their insulin dose?
Their risk of hypoglycemia may increase
What is a potential consequence of reducing insulin dose by 20% in patients with increased insulin sensitivity?
Hypoglycemia may occur
Why may insulin dose need to be increased gradually when stopping exercise?
To prevent hypoglycemia
What is the primary goal of adjusting insulin dosing based on various factors?
To achieve better glycemic control
What type of exercise is likely to increase the risk of hypoglycemia when performed during a time of active insulin and low levels of circulating glucose?
Aerobic exercise
What is a common challenge in insulin therapy for overweight type 2 patients in community practice settings?
Lowering insulin doses when glucose control is poor
Learn about the factors that influence insulin dosing, including insulin regimen-dependent and regimen-independent factors. Discover how to adapt the dose based on the time-action profile and understand the ideal insulin regimen for optimal glucose control.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
