NABP North American Pharmacist Licensure Examination NAPLEX Question # 31 Topic 4 Discussion

NABP North American Pharmacist Licensure Examination NAPLEX Question # 31 Topic 4 Discussion

NAPLEX Exam Topic 4 Question 31 Discussion:
Question #: 31
Topic #: 4

JM is a 32-year-old women who comes to your diabetic clinic with complain of several episodes of hypoglycemia. She is on Insulin NPH/regular 70/30, 22 units twice a day with breakfast and dinner. 8 units with lunch.

After discussing with physician you decide to decrease the total daily insulin by 10% and change to insulin glargine once a day and Insulin Lispro three time a day at ratio of 50:50 – 50 % of long and 50 % of short acting insulin.

What is her new insulin regimen? Round down to the nearest 1 unit.


A.

16 units of insulin glargine once daily, Insulin Lispro 4 units 3 times a day with meals


B.

15 units of insulin glargine once daily, Insulin Lispro 5 units 3 times a day with meals


C.

23 units of insulin glargine once daily, Insulin Lispro 7 units 3 times a day with meals


D.

30 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals


E.

18 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals


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