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
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Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Endocrinology Source Type: blogs
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