Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10" WT: 178 Hemoglobin A1c 9%
-Given his schedule, what may work better for JK?

Question

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-Given his schedule, what may work better for JK?

Quizplus · Accepted Answer

Multiple daily injections may work better for JK as his erratic eating schedule and reported poor diet may be better managed with the flexibility of multiple injections throughout the day. Additionally, his low blood sugars at 8 pm may be prevented with a more tailored insulin regimen throughout the day. Multiple daily injections would likely work better for JK given his erratic schedule and poor eating habits. This would allow for more flexible mealtime insulin dosing and the ability to adjust for unexpected high or low blood sugars. Additionally, it may help improve his overall glucose control and reduce the risk of hypoglycemic events.

Case Study JK Is a 19 Yo M College Student with T1DM.He