Management of diabetes webinar 4 - assessment answers

1. What is an appropriate starting dose for most people when initiating basal insulin?
a. 10 units per day

2. When is an appropriate time to administer insulin in people initiating this therapy?
d. The time of day the patient will find the easiest to take the insulin regularly

3. A critical feature of premix insulins is that:
d. they must be given at a meal time

4. Once you are taking bolus insulin, you have to take it at every meal. True or false?
b. False

5. Patients with diabetes can expect that once on insulin, they will have:
c. freedom to eat more freely and flexibly

6. How do you determine the time of day for adding prandial insulin to achieve the most benefit?
b. Choose the meal time when blood glucose levels are the highest afterwards

7. For what TWO reasons may it be more appropriate to set an HbA1c target of >53mmol/L?
a. When the patient has a shorter life expectancy
b. When the patient has had previous significant unawareness of hypoglycaemic episodes

8. What are potential clinical outcomes if HbA1c levels increase over time?
g. All of the above

9. One of the main aims of the NZSSD Type 2 Diabetes Management Guidance is to:
c. reduce clinical inertia and recognise when a patient’s diabetes management needs to be reviewed

10. In patients with diabetes and predominately heart failure or diabetic renal disease, which initial second-line agent would generally be preferrable?
c. Sodium-glucose cotransporter-2 inhibitor