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
Gestational diabetes mellitus (GDM) is a type of diabetes that develops during pregnancy and is characterized by high blood glucose levels. It usually resolves after childbirth but increases the risk of developing type 2 diabetes in the future.
Incorrect choices:
a. This choice is incorrect. GDM typically resolves after childbirth, not after.
b. This choice is incorrect. GDM is not a rare condition; it affects a significant percentage of pregnant women.
c. This choice is incorrect. Women with GDM have an increased risk of developing type 2 diabetes, not type 1 diabetes, later in life.
Correct Answer is C
Explanation
Empagliflozin is an SGLT2 inhibitor that reduces renal glucose reabsorption, leading to increased urinary glucose excretion and improved glycemic control in type 2 diabetes mellitus.
Incorrect choices:
a. This choice is incorrect. Metformin primarily improves insulin sensitivity and reduces hepatic glucose production.
b. This choice is incorrect. Glipizide stimulates insulin secretion from pancreatic beta cells.
d. This choice is incorrect. Insulin detemir is a long-acting basal insulin used in insulin therapy.
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