Insulin in Gastroparesis — RACP Adult Medicine MCQ

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HardEndocrinology & DiabetesInsulin in GastroparesisRACP Adult Medicine

A 42-year-old man with T1DM and gastroparesis has erratic postprandial glucose. What insulin strategy addresses gastroparesis-related variability?

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Correct answer: A — Split bolus dosing (portion before meal, remainder 1–2 hours later)

Split-bolus or extended bolus (pump) matches insulin delivery to delayed nutrient absorption. CGM helps detect glucose excursions.

Reference: ADS – 2024; eTG – 2025