Which treatment approach involves delivering a continuous subcutaneous insulin infusion using an insulin pump and providing bolus doses before meals to mimic physiologic insulin secretion?
Oral antidiabetic medication therapy.
Basal-bolus insulin therapy.
Sliding-scale insulin therapy.
Insulin glargine therapy.
The Correct Answer is B
Basal-bolus insulin therapy involves administering a continuous basal insulin infusion to provide background insulin coverage and delivering bolus doses of insulin before meals to cover postprandial glucose elevations.
Incorrect choices:
a. This choice is incorrect. Oral antidiabetic medications are not used in basal-bolus insulin therapy.
c. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, rather than providing consistent basal and mealtime coverage.
d. This choice is incorrect. Insulin glargine therapy provides long-acting basal insulin coverage but does not involve bolus doses before meals.
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Related Questions
Correct Answer is D
Explanation
Diabetic cataracts result from the accumulation of glucose within the lens of the eye, leading to changes in vision and the development of cataracts. This can cause blurred vision and visual disturbances.
Incorrect choices:
a. This choice is incorrect. Diabetic retinopathy is a complication that affects the blood vessels of the retina and can lead to vision loss.
b. This choice is incorrect. Diabetic neuropathy refers to nerve damage due to diabetes and can cause symptoms such as tingling, pain, and loss of sensation in the extremities.
c. This choice is incorrect. Diabetic ketoacidosis (DKA) is an acute complication characterized by high blood glucose levels, ketosis, and metabolic acidosis.
Correct Answer is B
Explanation
Soaking feet in hot water can lead to burns and is not recommended for individuals with diabetes, as they may have reduced sensation. Warm water and gentle cleaning are more appropriate for foot care.
Incorrect choices:
a. This statement is correct. Daily inspection of the feet is important to detect any cuts, sores, or blisters early and prevent complications.
c. This statement is correct. Wearing comfortable shoes and avoiding high heels helps protect the feet and prevent injuries.
d. This statement is correct. Moisturizing the feet regularly can help prevent dry skin, which can lead to cracks and potential infections.
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