Question

A patient with type 1 diabetes on basal-bolus insulin therapy complains of frequent hypoglycaemic episodes in the early morning. His bedtime blood glucose is consistently within target. Which insulin adjustment is most appropriate to reduce nocturnal hypoglycaemia?

Accepted Answer

Decrease the evening basal insulin dose

Answer

Increase the basal insulin dose

Answer

Add a rapid-acting insulin dose at bedtime

Answer

Stop the basal insulin

Answer

Switch to twice-daily mixed insulin regime

Practice question

A patient with type 1 diabetes on basal-bolus insulin therapy complains of frequent hypoglycaemic episodes in the early morning. His bedtime blood glucose is consistently within target. Which insulin adjustment is most appropriate to reduce nocturnal hypoglycaemia?