A 22-year-old woman with type 1 diabetes presents with a fasting glucose of 156 mg/dL and HbA1c of 8.2%. She is currently taking only basal insulin glargine and reports inconsistent meal coverage. Vital signs are stable: BP 118/76, HR 82, RR 16, Temp 98.6°F, SpO2 98%. She denies diabetic ketoacidosis symptoms. She seeks a mealtime insulin with the fastest onset of action that can be injected immediately before eating. Which agent is most appropriate?

  1. A)Insulin glargine
  2. B)Insulin lisproGABARITO
  3. C)Insulin detemir
  4. D)Regular insulin
  5. E)NPH insulin

Explicação

Rapid acting insulin analogs such as lispro, aspart, and glulisine have the fastest onset and are used for prandial glucose control. Ver explicação completa e trilha adaptativa →

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