Insulin Regimens in Diabetes Management
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Questions and Answers

What is the primary reason for delayed insulin therapy in patients with diabetes?

  • Insulin resistance
  • High cost of insulin preparations
  • Interactions with healthcare system factors (correct)
  • Beta cell function

What type of insulin regimens are not suitable for insulin-naive patients?

  • Complex regimens with rapid acting and pre-mixed insulins (correct)
  • Combination of basal insulin and rapid acting insulin
  • Simple, one-to-four injections of basal insulin at bedtime
  • Intermediate acting insulin regimens

What is the primary advantage of rapid acting insulin analogues in type 2 diabetes?

  • Simplified dosing regimens
  • Reduced risk of hypoglycemia
  • Increased efficacy (correct)
  • Cost-effectiveness

What is the primary limitation of the current US diabetes treatment model?

<p>Reactive approach, focusing on acute glycemic control (D)</p> Signup and view all the answers

What is the natural history of type 2 diabetes?

<p>Decline in beta cell function and increased insulin resistance (A)</p> Signup and view all the answers

What is the primary consideration in insulin dosing in outpatient settings?

<p>Patient-specific factors and the appropriate regimen (C)</p> Signup and view all the answers

What is the primary advantage of basal insulin dosing over NPH insulin?

<p>Better glycemic control with lower doses (B)</p> Signup and view all the answers

What is the main reason patients with type 2 diabetes switch to basal insulin therapy?

<p>Suboptimal glycemic control with current therapy (B)</p> Signup and view all the answers

What is the primary objective of patient-oriented type 2 diabetes care programs?

<p>Prevention of symptoms and reduction of microvascular complications (D)</p> Signup and view all the answers

What is the main factor that affects insulin dosing in patients with type 1 diabetes?

<p>Daily adjustments based on food consumption and physical activity (D)</p> Signup and view all the answers

What is the most common insulin-dosing regimen preferred by patients and MDs?

<p>Basal/bolus regimen (C)</p> Signup and view all the answers

What is the primary consequence of insulin dosing fraud?

<p>Tragic incidents of overdose (A)</p> Signup and view all the answers

What is the ultimate goal of high-quality insulin dosing?

<p>Avoidance of diabetic complications (D)</p> Signup and view all the answers

Why is it important to titrate doses of oral agents or premix insulin?

<p>To achieve glucose targets at specific times of the day (C)</p> Signup and view all the answers

What is the primary benefit of rapid-acting insulin analogues?

<p>Closely mimics normal physiological insulin secretion (A)</p> Signup and view all the answers

What is the key challenge in initiating basal insulin therapy in patients who have been stable on numerous injections or premix insulin?

<p>Uncertainty regarding the best way to start basal insulin (A)</p> Signup and view all the answers

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