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Type 1 diabetes sick-day rules — GPhC CRA MCQ

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

HardEndocrine TherapeuticsType 1 diabetes sick-day rulesGPhC CRA

A person repeatedly injects insulin aspart into the same painless abdominal lump and now has erratic post-meal glucose readings. What counselling is most likely to improve dose absorption?

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

Reveal the answer and explanation

Correct answer: A — Use unaffected tissue and rotate injection sites within one area

Repeated injections into lipohypertrophy can make insulin absorption delayed and unpredictable. The patient should avoid affected tissue, rotate systematically within an appropriate anatomical area and review technique; glucose may fall when normal absorption resumes, so doses may need clinical reassessment.

Reference: BNF: insulin aspart: https://bnf.nice.org.uk/drugs/insulin-aspart/