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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?

Reactive approach, focusing on acute glycemic control Signup and view all the answers

What is the natural history of type 2 diabetes?

Decline in beta cell function and increased insulin resistance Signup and view all the answers

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

Patient-specific factors and the appropriate regimen Signup and view all the answers

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

Better glycemic control with lower doses Signup and view all the answers

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

Suboptimal glycemic control with current therapy Signup and view all the answers

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

Prevention of symptoms and reduction of microvascular complications Signup and view all the answers

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

Daily adjustments based on food consumption and physical activity Signup and view all the answers

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

Basal/bolus regimen Signup and view all the answers

What is the primary consequence of insulin dosing fraud?

Tragic incidents of overdose Signup and view all the answers

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

Avoidance of diabetic complications Signup and view all the answers

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

To achieve glucose targets at specific times of the day Signup and view all the answers

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

Closely mimics normal physiological insulin secretion 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?

Uncertainty regarding the best way to start basal insulin Signup and view all the answers