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1. Which of the following BEST describes regular human insulin compared with the rapid-acting human insulin analogs?

A. Potentially more costly B. Less effective at controlling postprandial glucose variations C. Less well tolerated among long-term care residents D. Associated with a higher risk of hypoglycemia

2. What is the recommended starting dose schedule for rapid-acting insulin?

A. 6 U or 0.15 U/kg or 15% of basal dose prior to the largest meal B. 6 U or 0.15 U/kg or 15% of basal dose prior to the 2 largest meals C. 4 U or 0.1 U/kg or 10% of basal dose prior to largest meal D. 4 U or 0.1 U/kg or 10% of basal dose prior to the 2 largest meals

3. KS is an 85-year-old long-term care resident with type 2 diabetes (T2DM) who is treated with basal insulin plus once-daily rapid-acting insulin. Although she has almost no history of hypoglycemic episodes, she has recently begun to experience mild hypoglycemia 2 to 3 times per week. Her hypoglycemia appears to be related to her T2DM treatment as other potential causes of been ruled out. What strategy would you recommend to address her hypoglycemia?

A. Discontinue her rapid-acting insulin injections B. Discontinue her basal insulin injections C. Reduce her insulin dose by 1 to 2 U or by 5% to 10% D. Reduce her insulin dose by 2 to 4 U or by 10% to 20%

4. According to the Centers for Medicare and Medicaid Services, approximately how many hospital readmissions are potentially avoidable by improving multidisciplinary communication and collaboration during care transitions?

A. 1 in 3 B. 1 in 5 C. 1 in 10 D. 1 in 25

5. LM is an 87-year-old long-term care (LTC) resident with type 2 diabetes (T2DM) and chronic obstructive pulmonary disease. His T2DM is currently managed with basal insulin and once-daily rapid-acting mealtime insulin. He was hospitalized last week for pneumonia, and today he is being discharged from the hospital and transferred back to his LTC facility. He was discharged and prescribed a fluoroquinolone antibiotic, but his insulin regimen was not changed. Which of the following actions is needed at this time?

A. Simplify his insulin regimen to accommodate his complex antibiotic treatment schedule B. Rule out potential drug-drug interactions associated with his new medication and insulin therapy C. Lower his glycated hemoglobin A_1cgoals to achieve tighter glycemic control to improve his overall health status D. Report his hospitalization to the Centers for Medicare and Medicaid Services Five-Star Quality Rating System

Maintenance is scheduled for 08/28/2024 6:00 AM EST - 08/28/2024 5:00 PM EST.

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1. Which of the following BEST describes regular human insulin compared with the rapid-acting human insulin analogs?

2. What is the recommended starting dose schedule for rapid-acting insulin?

4. According to the Centers for Medicare and Medicaid Services, approximately how many hospital readmissions are potentially avoidable by improving multidisciplinary communication and collaboration during care transitions?

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Maintenance is scheduled for 08/28/2024 6:00 AM EST - 08/28/2024 5:00 PM EST.

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1. Which of the following BEST describes regular human insulin compared with the rapid-acting human insulin analogs?

2. What is the recommended starting dose schedule for rapid-acting insulin?

4. According to the Centers for Medicare and Medicaid Services, approximately how many hospital readmissions are potentially avoidable by improving multidisciplinary communication and collaboration during care transitions?

« Return to Activity

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