JK is a 19-year-old male college student with T1DM. He stays away from home and does not follow a proper diet. His school schedule is erratic; therefore, he eats throughout the day. Currently, he takes extended long-acting analogue insulin once per day. By 8 P.M., his blood sugar levels start dropping to a very low value. Also, biochemical analysis shows trace amount of ketones in his blood.
Height: 5'10" Weight: 175 pounds Hemoglobin A1C: 9%
-Given his schedule, what may work better for JK?

Question

JK is a 19-year-old male college student with T1DM. He stays away from home and does not follow a proper diet. His school schedule is erratic; therefore, he eats throughout the day. Currently, he takes extended long-acting analogue insulin once per day. By 8 P.M., his blood sugar levels start dropping to a very low value. Also, biochemical analysis shows trace amount of ketones in his blood.
Height: 5'10"        Weight: 175 pounds          Hemoglobin A1C: 9%
-Given his schedule, what may work better for JK?

Quizplus · Accepted Answer

Multiple daily injections would be the best choice for JK as it would provide him with better glycemic control throughout the day. Split-dose insulin may also be an option but MDIs offer more flexibility in terms of adjusting insulin doses based on meal intake and activity level. Conventional therapy or a single-dose insulin regimen may not be sufficient to control JK's blood sugar levels throughout the day. Not taking any insulin is not an option as it would be life-threatening for a person with T1DM.

JK Is a 19-Year-Old Male College Student with T1DM