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 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 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.
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