A 55-year-old with T2DM on basal insulin has A1C 9.1% and frequent nocturnal hypoglycemia. Which adjustment is appropriate?...

Question

A 55-year-old with T2DM on basal insulin has A1C 9.1% and frequent nocturnal hypoglycemia. Which adjustment is appropriate?

Accepted Answer

Reduce basal insulin dose 10-20% and reassess; avoid chasing highs with basal

Answer

Increase basal dose

Answer

Add sliding scale only

Answer

Stop all insulin

Answer

Start SGLT2 without adjusting insulin

us-abfm MCQ (SBA): Insulin Titration Safety