A 59-year-old with T2D and obesity is treated with metformin and basal insulin 12 units nightly. Fasting glucose is 180-220 mg/dL. What is an appropri...

Question

A 59-year-old with T2D and obesity is treated with metformin and basal insulin 12 units nightly. Fasting glucose is 180-220 mg/dL. What is an appropriate titration plan per ADA?

Accepted Answer

Increase basal insulin by 2-4 units (or 10-15%) once or twice weekly to reach fasting target

Answer

Increase basal insulin by 1 unit weekly

Answer

Add sulfonylurea now without titrating insulin

Answer

Switch to premixed insulin immediately

Answer

Stop insulin and try thiazolidinedione

us-usmle-step-2 MCQ (SBA): Basal Insulin Titration

A 59-year-old with T2D and obesity is treated with metformin and basal insulin 12 units nightly. Fasting glucose is 180-220 mg/dL. What is an appropriate titration plan per ADA?