Mr. Smith is a 68-year-old male who has had type 2 diabetes for 15 years and has been managed on oral hypoglycemic agents. He weighs 90 kg. Over the past year, his HbA1c has steadily climbed and is now 9.2%. Which of the following insulin regimens would be the most appropriate to start in this case?
A) Basal/bolus regimen of 45 units of glargine at bedtime and 15 units of aspart before meals.
B) 10-18 units of glargine (Lantus) daily at time most convenient for patients
C) Rapid acting insulin (RAI) before each meal
D) Twice daily NPH, 30 units before breakfast and 15 units before supper
Correct Answer:
Verified
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