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HAS-BLED score interpretation — GPhC CRA MCQ

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HardCardiovascular TherapeuticsHAS-BLED score interpretationGPhC CRA

An adult injects insulin degludec once daily at 08:00. They remember a missed dose at 03:00 the following morning, five hours before the next scheduled dose. What is the correct plan?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Inject now and delay the next dose until at least 11:00

Option C is correct: an adult may inject a missed insulin-degludec dose on discovery, but at least eight hours must separate injections. A 03:00 dose therefore makes 11:00 the earliest next dose. Option B leaves only five hours. Option E risks hypoglycaemia from dose doubling. Option A creates an unsupported split dose with a five-hour interval. Option D changes a licensed once-daily regimen without clinical indication.

Reference: Tresiba SmPC: https://www.medicines.org.uk/emc/product/2944/smpc