Treating Hypoglycemia

Case Study

Denise is a 49 year old woman who has had type 1 diabetes for 22 years. She is on an insulin regimen of regular human insulin 5units with each meal and NPH 12 units at breakfast and bedtime. Her A1C is 5.9%. A review of her meter downloads reveals several blood glucose values of < 3.0 mmol/L per week, including some during the night. On further questioning, you discover that she “still feels them”, but no longer experiences the same symptoms (shaky and sweaty) as she did in the past.

Question 1: Which ONE of the following is NOT a risk factor for Denise’s episodes of hypoglycemia?

A.  Her A1C of 5.9%.
B.  That she has hypoglycemic unawareness.
C.  That she is 49 years old.
D.  That she has had diabetes for 22 years.
E.  That she has been diagnosed with autonomic neuropathy, on the basis of a persistent resting sinus tachycardia.
Reveal Answer

References for Denise:


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