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Kaplan Qbank USMLE



Author3 Posts
  #1

A 15-year-old girl with type 1 diabetes mellitus presents to her primary care doctor for a routine check up. Perusal of her blood sugar chart indicates that her recorded blood glucose levels are routinely between 120 and 150 mg/dL before breakfast, dinner and bedtime, with the normal being 116 mg/dL. She is on NPH and regular insulin. Which of the following is the next appropriate step?

A. Decrease the dosage of NPH
B. Decrease the dosage of Regular insulin
C. Make no changes and obtain a glycosylated Hb test
D. Increase the dosage of NPH
E. Decrease the dosage of Regular insulin


  #2

E?

  #3

It is C, the glucose is just a little above the norm







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