Optimizing Insulin Therapy for Diabetes Patients

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What is the primary reason insulin is underutilized as a glucose-lowering therapy?

Lack of data on its effectiveness

Insufficient tailoring of insulin dosing

Unavailability of basal bolus therapy

Patient fear and provider ignorance (correct)

What is the potential benefit of smart insulin delivery in diabetes care?

Improving exogenous insulin replacement

Preventing hypo and hyperglycemia (correct)

Increasing cardiovascular mortality

Reducing the need for premixed insulin

What is the focus of future developments in insulin management?

Improving the convenience and accuracy of exogenous insulin replacement (correct)

Increasing the use of oral hypoglycemic agents

Reducing the use of SGLT-2 inhibitors

Developing newer insulin dosing methods

What is the benefit of SGLT-2 inhibitors in diabetes patients?

Reducing cardiac events and heart failure hospitalization Signup and view all the answers

What is the advantage of tailored insulin dosing using exogenous and endogenous insulin values?

Reducing premixed insulin usage and returning to basal bolus therapy Signup and view all the answers

What is the challenge posed by the current diabetes and obesity epidemics?

Creating an increasingly complex population of patients with diabetes and concurrent comorbidities Signup and view all the answers

What is the primary advantage of smart insulin delivery?

Achieving near-normal glycemia without hypoglycemia or adverse effects Signup and view all the answers

What is the main challenge in achieving postprandial blood sugars in a desirable target range for individual patients?

All of the above and more Signup and view all the answers

What is the primary goal of the paradigm shift from fixed prandial doses to insulin:carbohydrate ratio dosing?

Achieving good postprandial glycemic control Signup and view all the answers

What is the advantage of Continuous Glucose Monitoring (CGM) over self-monitoring blood glucose (SMBG)?

CGM provides a continuous glucose profile throughout the day Signup and view all the answers

What is the primary limitation of self-monitoring blood glucose (SMBG)?

The delayed action from the test result Signup and view all the answers

What is the purpose of Artificial Intelligence (AI) in insulin dosing?

To optimize insulin dosing and glycemic control Signup and view all the answers

What is a potential benefit of future insulin dosing approaches?

Improved glucose control Signup and view all the answers

What is the purpose of the Stanford Artificial Pancreas Project's Automated Multiparametric Intelligent Control system (AMPIC)?

To optimize insulin dosing and glycemic control Signup and view all the answers

What is the result of a recent meta-analysis on the use of Continuous Glucose Monitoring (CGM)?

CGM has a moderate but significant mean A1C lowering effect Signup and view all the answers

What is the traditional rule of thumb for insulin dosing in type 1 diabetes?

0.6 units/kg/day total dose Signup and view all the answers

Optimizing Insulin Therapy for Diabetes Patients

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