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Type 1 diabetes education — SCE Endocrinology MCQ

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EasyDiabetesType 1 diabetes educationSCE Endocrinology

A 49-year-old man with type 1 diabetes has persistent HbA1c 84 mmol/mol. He uses basal-bolus insulin but injects rapid-acting insulin after meals because he is unsure how much he will eat. What is the most appropriate intervention?

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

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Correct answer: E — Structured education in carbohydrate counting and pre-meal bolus adjustment

Structured education in flexible insulin therapy and carbohydrate counting is central to type 1 diabetes management. Sulfonylureas do not replace insulin in type 1 diabetes. Pre-meal bolusing, when safe, better matches carbohydrate absorption than delayed bolusing.

Reference: NICE NG17