skip to main content

Insulin reconciliation after discharge — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

HardDispensing and SupplyInsulin reconciliation after dischargeGPhC CRA

A hospital discharge prescription includes insulin degludec 100 units/mL pen 16 units daily, but the patient's previous repeat was insulin glargine 16 units daily. The patient believes both pens should be used. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: C — Clarify whether degludec replaces glargine before supply

Long-acting insulin duplication can cause severe hypoglycaemia. A discharge medicine change may be intentional, but the patient misunderstanding creates immediate safety risk. The pharmacist should reconcile the discharge information with the prescriber before supply and provide clear counselling.

Reference: BNF; MEP