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T1DM – insulin regimen — RACP Paediatrics MCQ

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EasyEndocrineT1DM – insulin regimenRACP Paediatrics

A 10-year-old newly diagnosed with type 1 diabetes has completed DKA management and is transitioning to subcutaneous insulin. What is the recommended insulin regimen per current Australian guidelines?

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Correct answer: C — Multiple daily injections (MDI)

Multiple daily injections (MDI) using a basal-bolus regimen (long-acting insulin analogue once daily plus rapid-acting insulin before meals) is the recommended standard insulin regimen for children with type 1 diabetes. This provides physiological insulin replacement and flexibility for varying carbohydrate intake and activity levels.

Reference: RCH Melbourne – 2023 – Type 1 Diabetes CPG; ISPAD – 2022 – T1DM Guidelines