Which treatment modality involves monitoring blood glucose levels and adjusting insulin doses based on carbohydrate intake, activity level, and current blood glucose levels to achieve tight glycemic control?
Sliding-scale insulin therapy.
Intensive insulin therapy.
Insulin detemir therapy.
Oral antidiabetic medication therapy.
The Correct Answer is B
Intensive insulin therapy involves close monitoring of blood glucose levels and making frequent adjustments to insulin doses to achieve tight glycemic control and prevent complications in individuals with diabetes mellitus.
Incorrect choices:
a. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, without considering other factors such as carbohydrate intake and activity.
c. This choice is incorrect. Insulin detemir therapy is a form of basal insulin coverage and does not necessarily involve frequent adjustments.
d. This choice is incorrect. Oral antidiabetic medications are not part of intensive insulin therapy.
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Related Questions
Correct Answer is C
Explanation
The Hemoglobin A1c (HbA1c) test measures the percentage of hemoglobin that is glycated, reflecting average blood glucose levels over the past 2 to 3 months. It is a valuable tool for assessing long-term glycemic control.
Incorrect choices:
a. This choice is incorrect. The fasting blood glucose test measures blood glucose levels after an overnight fast and provides a snapshot of current glucose levels, rather than long-term control.
b. This choice is incorrect. The oral glucose tolerance test (OGTT) measures how the body responds to a glucose load and is used to diagnose diabetes and impaired glucose tolerance, rather than monitor long-term control.
d. This choice is incorrect. The C-peptide test is used to assess insulin production by measuring the level of C-peptide, a byproduct of insulin production.
Correct Answer is D
Explanation
The OGTT measures the body's ability to clear glucose from the blood by drinking a glucose solution and measuring blood glucose levels at specific intervals. It is commonly used to diagnose diabetes mellitus.
Incorrect choices:
a. This choice is incorrect. The fasting blood glucose test measures blood glucose levels after an overnight fast and is not specifically used to assess glucose clearance.
b. This choice is incorrect. The HbA1c test measures average blood glucose levels over the past 2-3 months and is not specifically used to assess glucose clearance.
c. This choice is incorrect. The C-peptide test assesses insulin production by the pancreas and is not specifically used to assess glucose clearance.
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