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1. Which of the following is a rapid-acting insulin product?

A. Insulin degludec B. Insulin lispro C. Insulin glargine D. Regular insulin

2. Basal insulin, when used correctly, is responsible for which of the following actions?

A. Suppression glucose production in the liver B. Reduction of glucose levels after meals C. Increase in fatty acid production D. Increase in ketone production

3. Which of the following is true when initiating a basal-bolus insulin regimen in patients with type 2 diabetes?

A. Initiate 10 units of glargine insulin at bedtime B. Insulin administration should begin with dosing four times daily C. Patients with T2D should not use the basal-bolus method D. Start with a bolus insulin injected at bedtime

4. All of the following foods contain 15 grams of carbohydrate per serving EXCEPT:

A. 1 cup low-fat milk B. 1 small apple C. 1 tbsp sugar D. 1 cup pasta

5. When instructing an obese patient with T2D on administering insulin, all of the following are appropriate recommendations, EXCEPT:

A. Inspect insulin vials for contamination B. Inject insulin at a 90 degree angle C. Withdraw needle quickly and apply light pressure D. Inject the insulin within 1 inch of the navel

6. Which of the following is a common patient-level barrier to insulin use?

A. Mild hypoglycemia B. Lipodystrophy C. Painful injections D. Weight loss

7. When should patients be instructed to administer rapid-acting insulin?

A. 0-5 minutes before a meal B. At bedtime C. 30-60 minutes before a meal D. 30-60 minutes after a meal

8. JP, a patient with T2D, brings a prescription for a long-acting basal insulin to your pharmacy. She is reluctant to use insulin because she thinks insulin is only for patients who are nearing the end stages of the disease. How can you assure JP this is not the case?

A. Tell her that her diabetes has progressed to type 1 and, therefore, requires insulin therapy B. Inform her that insulin is the most cost effective way to treat diabetes C. Tell her that replacing insulin is an effective treatment for T2D and it can be used early in the disease process for some patients D. Tell her that a poor diet likely that caused her diabetes to get out of control and offer her a consultation with a dietician

9. A patient is using a basal insulin product and asks if he needs to eat something each time he injects it. A correct counseling tip conveyed by the pharmacist might be:

A. Eat immediately after injecting any type of insulin, since the insulin will cause blood sugar levels to fall quickly B. Drink a glass of milk after injecting insulin, since this will improve the absorption of insulin C. You do not need to eat food after injecting basal insulin, since it acts as a low-dose background insulin throughout the day D. You should eat a meal approximately 1 hour before you inject any type of insulin, because eating after you inject the insult may cause nausea

10. Lipohypertrophy can be avoided by:

A. Rolling insulin to mix prior to administration B. Using insulin pens rather than syringes C. Storing insulin pens in use at room temperature D. Rotating injection sites