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Nonselective beta blockers and alcohol create serious drug interactions
with insulin because they:
A. Increase blood glucose levels
B. Produce unexplained diaphoresis
C. Interfere with the ability of the body to metabolize glucose
D. Mask the signs and symptoms of altered glucose levels
Prior to prescribing metformin, the provider should:
A. Draw a serum creatinine to assess renal function
B. Try the patient on insulin
C. Tell the patient to increase iodine intake
D. Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
Hypoglycemia can result from the action of either insulin or an oral
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hypoglycemic. Signs and symptoms of hypoglycemia include:
A. “Fruity” breath odor and rapid respiration
B. Diarrhea, abdominal pain, weight loss, and hypertension
C. Dizziness, confusion, diaphoresis, and tachycardia
D. Easy bruising, palpitations, cardiac dysrhythmias, and coma
The action of “gliptins” is different from other antidiabetic agents because they:
A. Have a low risk for hypoglycemia
B. Are not associated with weight gain
C. Close ATP-dependent potassium channels in the beta cell
D. Act on the incretin system to indirectly increase insulin production
Lispro is an insulin analogue produced by recombinant DNA technology.
Which of the following statements about this form of insulin is NOT true?
A. Optimal time of preprandial injection is 15 minutes.
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B. Duration of action is increased when the dose is increased.
C. It is compatible with neutral protamine Hagedorn insulin.
D. It has no pronounced peak.
The decision may be made to switch from twice daily neutral protamine
Hagedorn (NPH) insulin to insulin glargine to improve glycemia control
throughout the day. If this is done:
A. The initial dose of glargine is reduced by 20% to avoid hypoglycemia.
B. The initial dose of glargine is 2 to 10 units per day.
C. Patients who have been on high doses of NPH will need tests for insulin antibodies.
D. Obese patients may require more than 100 units per day.
When blood glucose levels are difficult to control in type 2 diabetes some
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form of insulin may be added to the treatment regimen to control blood
glucose and limit complication risks. Which of the following statements is
accurate based on research?