A 50-year-old male patient has a 15-year history of diabetes. The patient injects 24 units of NPH and 12 units of insulin lispro before breakfast and 12 units of NPH and 6 units of insulin lispro before dinner. The patient's glucose pattern is as follows: Fasting blood glucose Average is 110 and prelunch average is 220 mg/dl ; predinner average is 180 mg/dl; and bedtime BG average is 140. The dose adjustment that best addresses this glucose profile is:
A) Adding 2 units of lispro before breakfast
B) Adding 4 units of lispro before dinner
C) Adding 2 units of lispro before lunch
D) Decreasing evening NPH by 2 units
Correct Answer:
Verified
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