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WorksheetsCalculations and Fall back method - Madras - Endo exam 3
Total questions: 21
Worksheet time: 21mins
SB is a 35 year old female with type 1 diabetes. She is currently taking 20 units of regular insulin and 15 units of NPH before breakfast (9AM) and dinner (7PM). Match the following situations with the insulin that should be adjusted
SB average blood glucose at 12 PM is 200 mg/dL
Adjust AM regular insulin
SB average blood glucose at 6 PM is 190 mg/dL
Adjust AM NPH
SB average blood glucose at 11 PM is 210 mg/dL
Adjust PM regular insulin
SB average blood glucose at 9 AM is 220 mg/dL
Adjust PM NPH
JM is a 48 year old male with type one diabetes. He takes 10 units of lispro before breakfast (7AM), before lunch (11 am) , and before dinner (5 pm). She also takes insulin glargine . Match the following situations with which insulin should be adjusted
JMs average blood glucose at 11 AM is 190 mg/dL
Adjust morning Lispro
JMs average blood glucose at 4 PM is 200 mg/dL
Adjust lunch Lispro
JMs average blood glucose at 9 PM is 180 mg/dL
Adjust dinner lispro
JMs average blood glucose at 6 AM is 190 mg/dL
Adjust Glargine
TJ is a 25 year old male with type 1 diabetes. He is currently taking 15 units of regular insulin and 14 units of NPH before breakfast (7AM) and dinner (5PM).
TJ wakes up at 4 am and reports being hungry and sweaty. TJ also says her morning glucose is high. Which of the following would help TJs situation
Move dinner NPH to QHS
Move PM lispro to QHS
Move morning NPH to Lunch
Move AM lispro to lunch
A person is taking 40 units of Lantus once a day. How many Lantus solostar pens should be dispensed for a 60 day supply?
(a)
A person is taking 25 units of Lantus once a day. How many Lantus solostar pens should be dispensed for a 30 day supply?
(a)
How many units of NPH would a person be taking if they were taking 40 units twice a day of Humlin 70/30
(a)
How many units of regular insulin would a person be taking if they were taking 40 units twice a day of Humlin 70/30
(a)
A patient is taking 60 units of Humulin 70/30 BID. How many units of regular insulin is the patient taking each day
(a)
A patient is taking 60 units of Humulin 70/30 BID. How many units of NPH is the patient taking each day
(a)
JT has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of regular insulin three times a day before each meal. Select all that apply
To calculate insulin sensitivity use the 1800 rule
To calculate insulin sensitivity use the 1500 rule
To calculate the insulin/Carbohydrate ratio use the 500 rule
To calculate the insulin/carbohydrate ratio use the 450 rule
JT has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of regular insulin three times a day before each meal. Calculate the insulin sensitivity
(a)
JT has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of regular insulin three times a day before each meal. What is the Insulin/Carbohydrate ratio
(a)
JT has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of regular insulin three times a day before each meal.
JTs pre-lunch material reading is 205 mg/dL (goal of 130 mg/dL) and plans to eat 90 gm CHO at lunch. What should the pre-lunch lispro dose be?
(a)
JT has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of lispro three times a day before each meal. Select all that apply
To calculate insulin sensitivity use the 1800 rule
To calculate insulin sensitivity use the 1500 rule
To calculate the insulin/Carbohydrate ratio use the 500 rule
To calculate the insulin/carbohydrate ratio use the 450 rule
BD has type 1 DM and is being treated with 45 units of glargine in the morning and 15 units of lispro three times a day before each meal. Calculate the insulin sensitivity
(a)
DK has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of lispro three times a day before each meal. What is the Insulin:Carbohydrate ratio
(a)
DK has type 1 DM and is being treated with 40 units of glargine in the morning and 20 units of lispro three times a day before each meal.
DKs pre-lunch material reading is 164 mg/dL (goal of 130 mg/dL) and plans to eat 90 gm CHO at lunch. What should the pre-lunch lispro dose be?
(a)
A person with Type 2 DM is being treated with Lantus 55 units at bedtime and lispro 15 units three times a day before meals. The person mentioned above has a premeal target BG of 130 mg/dL. Their BG before dinner is 202 mg/dL. What regular insulin dose should be administered before dinner?
(a)
A person with Type 2 DM is being treated with Lantus 60 units at bedtime and lispro 10 units three times a day before meals. The person mentioned above has a premeal target BG of 130 mg/dL. Their BG before dinner is 190 mg/dL. What regular insulin dose should be administered before dinner?
(a)
A person with Type 2 DM is being treated with Lantus 50 units at bedtime and regular insulin 25 units three times a day before meals. The person mentioned above has a premeal target BG of 130 mg/dL. Their BG before dinner is 202 mg/dL. What regular insulin dose should be administered before dinner?
(a)
A person with Type 2 DM is being treated with Lantus 30 units at bedtime and regular insulin 15 units three times a day before meals. The person mentioned above has a premeal target BG of 130 mg/dL. Their BG before dinner is 190 mg/dL. What regular insulin dose should be administered before dinner?
(a)
