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Type 1 Diabetes Insulin Initiation — SCE Endocrinology MCQ

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ModerateEndocrinologyType 1 Diabetes Insulin InitiationSCE Endocrinology

A 33-year-old with newly diagnosed type 1 diabetes is learning insulin therapy. Which starting total daily insulin dose is reasonable for most adults?

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Correct answer: C — 0.4-0.5 units/kg/day split basal-bolus

ADA suggests ~0.4-0.5 U/kg/day as a starting TDD for adults with type 1 diabetes, divided basal-bolus. A/B: Typically inadequate. D: Excessive and basal-only is inappropriate. E: Sliding scale alone is not recommended.

Reference: ADA Standards of Care (2025): Pharmacologic Approaches to Glycemic Treatment