Insulin Dosing in Type 2 Diabetes

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What is the primary aim of the Endocrine/Diabetes Practice at the University of Chicago?

Collect and discuss practical approaches to insulin dosing (correct)
Investigate the causes of insulin resistance
Conduct clinical trials to compare insulin regimens
Develop alternative medications for diabetes management

What is the cornerstone of diabetes management?

Insulin therapy (correct)
Pancreas transplantation
Dietary changes and exercise
Medications that reduce insulin resistance

What is the goal of modern insulin dosing strategies?

To minimize short-term complications of diabetes
To determine the optimal dosage for each individual patient
To prove the noninferiority of one regimen to another (correct)
To develop insulin regimens for specific patient populations

What is a common challenge in establishing glycemic targets?

Variability in patient characteristics such as age and weight (A) Signup and view all the answers

What is the primary limitation of clinical trials of insulin efficacy?

They do not account for individual patient characteristics (B) Signup and view all the answers

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 (A) Signup and view all the answers

Which type of diabetes is more likely to be associated with lean patients?

Type 1 diabetes (A) Signup and view all the answers

What is the primary goal of treatment for pregnant women with gestational diabetes or pre-existing diabetes?

To minimize risk of adverse fetal outcomes (C) Signup and view all the answers

What is the effect of increased illnesses associated with weight gain on insulin requirements?

Insulin requirements are decreased (D) Signup and view all the answers

What is the effect of infection on glucose production?

Infection increases hepatic glucose production (B) Signup and view all the answers

What is the risk of patients with type 1 diabetes during any illness?

Risk of diabetic ketoacidosis (C) Signup and view all the answers

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 (C) Signup and view all the answers

What is the purpose of the Total Daily Dose (TDD) in insulin dosing?

To determine the basal dose of insulin (C) Signup and view all the answers

What is the benefit of starting with a conservative dose of insulin and gradually titrating the dose upward?

It reduces the risk of hypoglycemia (D) Signup and view all the answers

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 (A) Signup and view all the answers

What is a crucial factor in insulin dosing, particularly in intensification of insulin regimens?

The regimen's feasibility and impact on quality of life (B) Signup and view all the answers

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 (B) Signup and view all the answers

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 (C) Signup and view all the answers

What is the purpose of a structured monitoring log in insulin therapy?

To identify problem areas in the regimen and provide targets for change (B) Signup and view all the answers

How often should patients on multiple dose insulin or continuous subcutaneous insulin infusion perform self-monitoring of blood glucose?

At least four times daily (D) Signup and view all the answers

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 (D) Signup and view all the answers

What is the purpose of teach-back and return demonstration in patient education?

To assess patient understanding and identify need for additional education (C) Signup and view all the answers

What is the ultimate goal of patient education in diabetes care?

To provide patients with knowledge and skills for diabetes self-care (B) Signup and view all the answers

What is essential for improving diabetes care in the face of the diabetes epidemic?

Collaboration among healthcare providers (C) Signup and view all the answers

What is the correlation between A1C and the frequency of self-monitoring of blood glucose?

Strongly correlated (A) Signup and view all the answers

What is the primary challenge in diabetes care in the face of the diabetes epidemic?

Difficult decisions about optimal therapy (B) Signup and view all the answers