Have Patient Taking Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to have patient taking and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves have patient taking. A strong answer should include explanation, application, and examples.

Original Question

You have a 130 kg patient who is taking 1 gram of metformin BID and 60 units of insulin glargine. His pre-dinner levels are, on average, between 120-130 mg/dl. However, his post-prandial dinner levels (two hours after finishing) average 240-310 mg/dl. You decide to start the patient on rapid-acting insulin with dinner. Which of the following would be an appropriate dosage to aid in glycemic control while limiting the risk for hypoglycemia? Group of answer choices Maintain his metformin, decrease his insulin glargine to 54 units and initiate 6 units of rapid-acting 15 minutes prior to dinner Discontinue his metformin, decrease his insulin glargine to 45 units and initiate 15 units of rapid-acting 15 minutes prior to dinner Discontinue his metformin, decrease his insulin glargine to 54 units and initiate 6 units of rapid-acting 15 minutes prior to dinner Maintain his metformin, decrease his insulin glargine to 45 units and initiate 15 units of rapid-acting 30 minutes prior to dinner

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