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M/r Samson is taking insulin for the first time. As a physician you prescribed 20 units NPH and 5units regular insulin at breakfast, and 10 units NPH and 5 units regular insulin at dinner. After a few days, he begins to notice this approximate pattern in his blood sugar measurements: 8 A.M. (fasting), about 110; noon (before lunch), about 120; 5 P.M. (before dinner), about 55; bedtime, about 115. When her blood sugar is about 55, he feels shaky and sweaty, but this goes away if he has something to eat. Which of the following regimen changes would you recommend to him?A. Decrease his morning regular insulinB. Decrease his morning NPH insulinC. Stop evening insulin and add a sulfonylurea at bedtimeD. Have him eat a larger lunchE. Move his evening NPH insulin from supper time to bedtime |
| Answer» D. Have him eat a large lunch | |