Practice question from Insulin Dosing & Titration

Patient on glargine 30 units daily has fasting glucose of 165 mg/dL for 3 consecutive days. Using treat-to-target protocol, what is the appropriate adjustment? A. Increase by 2 units B. Increase by 4 units C. Increase by 6 units D. Increase by 8 units E. No change needed

Answer

C

Explanation

Fasting glucose 140-179 mg/dL warrants an increase of 6 units according to the treat-to-target titration protocol. This systematic approach safely optimizes basal insulin while minimizing hypoglycemia risk.

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