26 Questions
What is the primary aim of the Endocrine/Diabetes Practice at the University of Chicago?
Collect and discuss practical approaches to insulin dosing
What is the cornerstone of diabetes management?
Insulin therapy
What is the goal of modern insulin dosing strategies?
To prove the noninferiority of one regimen to another
What is a common challenge in establishing glycemic targets?
Variability in patient characteristics such as age and weight
What is the primary limitation of clinical trials of insulin efficacy?
They do not account for individual patient characteristics
What has been demonstrated by well-conducted clinical studies over the past 25 years?
The value of intensive insulin therapy in minimizing long-term complications of diabetes
Which type of diabetes is more likely to be associated with lean patients?
Type 1 diabetes
What is the primary goal of treatment for pregnant women with gestational diabetes or pre-existing diabetes?
To minimize risk of adverse fetal outcomes
What is the effect of increased illnesses associated with weight gain on insulin requirements?
Insulin requirements are decreased
What is the effect of infection on glucose production?
Infection increases hepatic glucose production
What is the risk of patients with type 1 diabetes during any illness?
Risk of diabetic ketoacidosis
What is the effect of an increase in exercise on blood glucose in patients taking insulin secretagogues or using an insulin pump?
Blood glucose decreases
What is the purpose of the Total Daily Dose (TDD) in insulin dosing?
To determine the basal dose of insulin
What is the benefit of starting with a conservative dose of insulin and gradually titrating the dose upward?
It reduces the risk of hypoglycemia
What is the primary consequence of following management algorithms or protocols indiscriminately?
Placing the patient at risk of hypoglycemia and adversely affecting their quality of life
What is a crucial factor in insulin dosing, particularly in intensification of insulin regimens?
The regimen's feasibility and impact on quality of life
What is the current state of best practices for insulin dosing?
They are not established and must be determined by more large-scale studies and clinical experience
What is the main approach to determining the best insulin dose for the patient?
An approach based on each patient's total daily insulin requirement
What is the purpose of a structured monitoring log in insulin therapy?
To identify problem areas in the regimen and provide targets for change
How often should patients on multiple dose insulin or continuous subcutaneous insulin infusion perform self-monitoring of blood glucose?
At least four times daily
What is the benefit of simulation of insulin and blood glucose monitoring techniques?
To allow patients to practice safely and self-correct before performing actual procedures
What is the purpose of teach-back and return demonstration in patient education?
To assess patient understanding and identify need for additional education
What is the ultimate goal of patient education in diabetes care?
To provide patients with knowledge and skills for diabetes self-care
What is essential for improving diabetes care in the face of the diabetes epidemic?
Collaboration among healthcare providers
What is the correlation between A1C and the frequency of self-monitoring of blood glucose?
Strongly correlated
What is the primary challenge in diabetes care in the face of the diabetes epidemic?
Difficult decisions about optimal therapy
Learn about the basics of insulin dosing in type 2 diabetes, including insulin resistance and secretory defects. Understand the importance of insulin therapy in diabetes management. This quiz covers the fundamentals of insulin treatment and its role in managing type 2 diabetes.
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