A previously non-diabetic inpatient receives prednisolone 40 mg each morning for inflammatory disease. Fasting glucose remains 5.8 mmol/L, but pre-eve...

Question

A previously non-diabetic inpatient receives prednisolone 40 mg each morning for inflammatory disease. Fasting glucose remains 5.8 mmol/L, but pre-evening-meal values are repeatedly 15–18 mmol/L despite appropriate nutrition. Steroid treatment will continue for several weeks. Which insulin strategy best matches this glycaemic profile?

Accepted Answer

Morning NPH insulin titrated against the pre-evening glucose

Answer

Bedtime NPH insulin titrated against the fasting glucose

Answer

Bedtime long-acting basal insulin titrated against the fasting glucose

Answer

Rapid-acting insulin only with the evening meal

Answer

A variable-rate intravenous insulin infusion for the full steroid course

Cancer-associated thrombosis — MRCP Part 1 MCQ