MKSAP: 40-year-old man with type 1 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man with type 1 diabetes mellitus presents to the office. He seeks advice on his diabetes management as he intensifies his exercise routine in preparation for participation in a 10-K race. He reports prolonged hypoglycemia during intense exercise, despite eating a meal prior to the activity. His insulin regimen is insulin glargine and insulin glulisine. His most recent HbA1c level was 7.0%. Which of the following is the most appropriate management of this patient’s hypoglycemia on the days that he exercises? A. Decrease meal-time insulin glulisine dose prior to exercise, continue insulin glargine dose B. Discontinue insulin glargine, continue insulin glulisine dose C. Increase meal-time protein prior to exercise, continue current insulin doses D. Switch insulin glulisine to a sliding-scale regimen, continue insulin glargine dose Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Diabetes Endocrinology Source Type: blogs