A 40-year-old man with type 1 diabetes mellitus is seen for follow up. He reports prolong hypoglycemia during intense exercise. Recent hemoglobin A1c is 7.0%. Which of the following is most appropriate management of hypoglycemia during exercise?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Decrease meal time insulin lispro dose prior to exercise, continue same insulin glargine dose
For exercise-related hypoglycaemia, reduce the insulin dose before activity in proportion to its intensity — in a basal-bolus regimen that means lowering the pre-exercise mealtime (lispro) bolus while keeping basal glargine unchanged.
- Stopping glargine in a type 1 diabetic removes basal insulin and risks DKA; adding protein or switching to a sliding scale does not address the excess insulin during exercise.
ليش كل خيار صح أو غلط
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A
ليش صح
Before activity the insulin dose is decreased according to its intensity; the insulin table lists lispro as a prandial (mealtime) insulin and glargine as a basal insulin, so the mealtime lispro is trimmed while basal glargine continues.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 9 -
B
ليش غلط
Type 1 diabetics require insulin at all times and should be on basal-bolus therapy, so stopping the basal glargine is not an option.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 8 -
D
ليش غلط
A sliding scale is an inpatient tool, given in hospital in addition to long-acting insulin; it is not the adjustment for exercise-related hypoglycemia.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 8
- المصدر
- Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 9
Diabetes mellitus overall Copy.pdf · p. 10 - المحاضرة
- Hypoglycaemia · Endocrinology · Module B
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