A 22 year old girl is type I diabetic. She is prescribed long acting insulin in the morning and short acting insulin before meals. She starts to become hypoglycaemic at about 4 pm. What should be the next management for her?
A.Stop long acting insulin
B.Stop short acting insulin
C.Decrease dose of long acting insulin
D.Increase dose of short acting insulin
E.Decrease dose of short acting insulin
Explanation:
Reduce short acting insulin… E
Long acting insulin usually has good tendency to overall encountering of hyperglycemia and associated complication… Long acting insulin has less tendency to cause hypoglycemic events because of steady glycemic control not abruptly… While short acting insulin carry acute tendency to lower the glycemic levels so more chances to get hypoglycemic events… E