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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Consuming a piece of fruit is an appropriate choice for treating hypoglycemia, as it provides a source of natural sugars that can help raise blood sugar levels.
Incorrect choices:
a. This choice is incorrect. A large serving of pasta contains complex carbohydrates that may take longer to raise blood sugar levels.
c. This choice is incorrect. A candy bar may provide a quick source of sugar, but it is often high in added sugars and unhealthy fats.
d. This choice is incorrect. Alcohol can further lower blood sugar levels and is not recommended for treating hypoglycemia.
Correct Answer is D
Explanation
Long-standing hyperglycemia in diabetes mellitus can lead to impaired wound healing, as high blood sugar levels affect blood flow and immune function, increasing the risk of infections.
Incorrect choices:
a. This choice is incorrect. Polyuria, polydipsia, and polyphagia are the "three P's" associated with diabetes-related hyperglycemia.
b. This choice is incorrect. Nausea, vomiting, and abdominal pain are not typically related to long-standing hyperglycemia in diabetes.
c. This choice is incorrect. Blurred vision and vision loss are manifestations of diabetic retinopathy, a microvascular complication, rather than impaired wound healing.
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