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 D
Explanation
Secondary diabetes mellitus is caused by other medical conditions or factors that affect insulin secretion or action, such as medications, hormonal disorders, or specific medical conditions.
Incorrect choices:
a. This choice is incorrect. Type 1 diabetes mellitus is primarily caused by autoimmune destruction of beta cells.
b. This choice is incorrect. Type 2 diabetes mellitus involves insulin resistance and relative insulin deficiency, often influenced by lifestyle factors.
c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy due to hormonal changes and is not primarily caused by other medical conditions or factors.
Correct Answer is A
Explanation
Weight loss despite increased appetite (polyphagia) is a clinical manifestation of diabetes mellitus due to the body's inability to effectively use glucose for energy, leading to breakdown of muscle and fat tissue.
Incorrect choices:
b. This choice is incorrect. Nausea, vomiting, and abdominal pain are not directly related to weight loss despite increased appetite.
c. This choice is incorrect. Impaired wound healing and increased susceptibility to infections are consequences of chronic hyperglycemia, but they are not directly related to weight loss.
d. This choice is incorrect. Rapid weight gain and bloating are not characteristic manifestations of diabetes mellitus; weight loss is more common.
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