USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 2 CK   *  >   >>  

* IM --> DM --> Insulin Dosage
 #139209  
  cjay - 11/16/06 22:37
 
  A 55 yr old lady treated for type 2 D.M on isophane insulin (NPH) 35U,Once daily before breakfast.Home glucose measurements on a typical day are 7:00 am (fasting) 238mg/dl, 11.00am - 155mg/dl, 4:00pm - 128mg/dl, 8:00pm - 125mg/dl.which of the following changes in insulin t/t is reasonable?

A. increasing the dose of insulin
B. adding regular insulin to the dose of NPH
C. giving the dose in the evening instead of morning
D. Adding a dose of regular insulin before supper
E. Adding a 2nd dose of NPH Insulin before supper
 
Report Abuse

 
 

* Re:IM --> DM --> Insulin Dosage
#561760
  internalmed - 11/16/06 23:13
 
  e--- morning high increase evening nph ,in evening high increase the morning
8 pm is 125-- if plain added she gets hypo.if npf in evening added takes care of morning 238
 
Report Abuse

* Re:IM --> DM --> Insulin Dosage
#561762
  srik - 11/16/06 23:13
 
  e?  
Report Abuse

* Re:IM --> DM --> Insulin Dosage
#561765
  internalmed - 11/16/06 23:15
 
  if dose given in the evening,morning may come into control,but evening
may go high which is controlled now
 
Report Abuse

* Re:IM --> DM --> Insulin Dosage
#561920
  malak - 11/17/06 06:49
 
  E. Adding a 2nd dose of NPH Insulin before supper  
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome