Insulin Dosing and Regimens
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Questions and Answers

What is the primary goal of adapting insulin dosing based on the time-action profile?

  • To prioritize the type of insulin used over the timing of administration
  • To ensure the same glucose control for all patients
  • To optimize glucose control and minimize adverse effects (correct)
  • To match endogenous insulin secretion precisely
  • 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 (correct)
  • Type 1 patients require more frequent insulin doses
  • Type 2 patients require more advanced insulin regimens
  • Type 2 patients require more types of insulin
  • What is the limitation of insulin regimens in achieving optimal glucose control?

  • Insulin regimens are too complex for patients to follow
  • Insulin regimens are not effective for type 2 diabetes patients
  • Insulin regimens are not tailored to individual patient needs
  • It is not yet possible to match exogenous insulin delivery as precisely as endogenous insulin secretion (correct)
  • What is the purpose of understanding insulin regimen-dependent and regimen-independent factors?

    <p>To help providers approximate a match between insulin delivery and patient need</p> Signup and view all the answers

    What is the ultimate goal of insulin therapy?

    <p>To achieve optimal glucose control and minimize adverse effects</p> Signup and view all the answers

    What is the significance of the time-action profile in insulin therapy?

    <p>It allows for adjusting insulin dosing to optimize glucose control</p> Signup and view all the answers

    What is a key factor in determining insulin requirements for patients with type 2 diabetes?

    <p>Entry A1C level and BMI</p> Signup and view all the answers

    Why may patients with severe hyperglycemia need an extra 30% of the insulin dose?

    <p>To maintain a lower A1C level</p> Signup and view all the answers

    What is an important factor to consider when formulating insulin dosing regimens for patients with type 2 diabetes?

    <p>Carbohydrate intake and meal timing</p> Signup and view all the answers

    What is the purpose of documenting the time of the meal, carb content of the food, and corresponding blood sugar and insulin dose?

    <p>To calculate the carb factor and mealtime insulin dose</p> Signup and view all the answers

    What may happen if a patient starts a new exercise regime without adjusting their insulin dose?

    <p>Their risk of hypoglycemia may increase</p> Signup and view all the answers

    What is a potential consequence of reducing insulin dose by 20% in patients with increased insulin sensitivity?

    <p>Hypoglycemia may occur</p> Signup and view all the answers

    Why may insulin dose need to be increased gradually when stopping exercise?

    <p>To prevent hypoglycemia</p> Signup and view all the answers

    What is the primary goal of adjusting insulin dosing based on various factors?

    <p>To achieve better glycemic control</p> Signup and view all the answers

    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?

    <p>Aerobic exercise</p> Signup and view all the answers

    What is a common challenge in insulin therapy for overweight type 2 patients in community practice settings?

    <p>Lowering insulin doses when glucose control is poor</p> Signup and view all the answers

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