QUESTIONS AND THEIR REVIEWED
CORRECT ANSWERS
When blood glucose levels are difficult to control in
type II diabetes, some form of insulin may be added to
the treatment regimen to control blood glucose and
limit complications risks. Which of the following
statements are accurate based on research?
A. Premixed insulin analogues are better at lowering
hemoglobin A1c and have less risk for hypoglycemia.
B. Premixed insulin analogues and the newer
premixed insulins are associated with more weight
gain than the oral antidiabetic agents.
C. Newer premixed insulins are better at lowering
hemoglobin A1c and postprandial glucose levels than
are long-acting insulins.
D. Patients who are not controlled on oral agents and
have postprandial hyperglycemia can have NPH
insulin added at bedtime.
C. Newer premixed insulins are better at lowering
hemoglobin A1c and postprandial glucose levels than are
long-acting insulins.
The American Diabetic Association has recommended
which of the following tests for ongoing management
of diabetes?
, A. Fasting blood glucose
B. Hemoglobin A1c
C. Thyroid function tests
D. Electrocardiograms
B. Hemoglobin A1c
Adam has type I diabetes and plays tennis for his
university. He exhibits a knowledge deficit about his
insulin and his diagnosis. He should be taught that:
A. He should increase his CHO intake during times of
exercise.
B. Each brand of insulin is equal in bioavailability, so
buy the least expensive.
C. Alcohol produces hypoglycemia and can help
control his diabetes when taken in small amounts.
D. If he does not want to learn to give himself
injections, he may substitute an oral hypoglycemic to
control his diabetes.
A. He should increase his CHO intake during times of
exercise.
Lispro is an insulin analogue produced by
recombinant deoxyribonucleic acid (DNA) technology.
Which of the following statements about this form of
insulin is not true?
A. The optimal time of preprandial injection is fifteen
minutes.
B. The duration of action is increased when the dose
is increased.
C. It is compatible with NPH insulin.
D. It has no pronounced peak.