Skip to content

MAKING BEST PRACTICE, EVERYDAY PRACTICE

FREE accredited digital CPD for health care professionals in South Africa

Accredited by the University of Pretoria

MAKING BEST PRACTICE, EVERYDAY PRACTICE

FREE accredited digital CPD for health care professionals in South Africa

Accredited by the University of Pretoria

Menu

Home
About
All clinical topics
SPECIAL INTEREST GROUPS
- Medical interns and registrars
Contact
ACCESS MY PROFILE

Menu

Home
About
All clinical topics
SPECIAL INTEREST GROUPS
- Medical interns and registrars
Contact
ACCESS MY PROFILE

[denovo_breadcrumbs]

Sharing best practice in diabetes care – Case study 3

Questionnaire

To access this module, please register or login:

Login or Register

Sharing best practice in diabetes care – Case study 3
Sharing best practice in diabetes care – Case study 3

Time limit: 0

Questionnaire Summary

0 of 10 Questions completed

Questions:

Information

You have already completed the questionnaire before. Hence you can not start it again.

Questionnaire is loading…

You must sign in or sign up to start the questionnaire.

You must first complete the following:

Results

Questionnaire complete. Results are being recorded.

Results

0 of 10 Questions answered correctly

Time has elapsed

You have reached 0 of 0 point(s), (0)

Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)

Categories

Not categorized 0%

Regrettably, you have failed to achieve the 70% pass mark required by the accrediting HPCSA.
Please read/watch the module carefully and try once more!
(Only two tries are allowed)
Congratulations on successfully completing this FREE CPD module!
- For HPCSA members only: No need to load your certificate on HPCSA, as deNovo Medica uploads these weekly. Please allow 5-10 working days for the CPD activity to reflect on your HPCSA profile
- For non-HPCSA members: The above button allows you to download and print your CPD certificate to submit to your council yourself.
Please note you will no longer receive a pass confirmation email. Your activity automatically downloads on to your deNovo Medica profile.
Visit your profile HERE to find all your CPD certificates and activities completed.

1
2
3
4
5
6
7
8
9
10

Current
Review
Answered
Correct
Incorrect

Question 1 of 10
1. Question
1. Mr R’s hunger is primarily a result of:
A. His lack of physical activity
Correct Incorrect Correct answer

B. The side effects of his insulin therapy
Correct Incorrect Correct answer

C. Fluctuating glucose levels with frequent lows
Correct Incorrect Correct answer

D. Low carbohydrate intake causing cravings
Correct Incorrect Correct answer
Question 2 of 10
2. Question
2. Based on his renal function, what stage renal failure does Mr R fall into?
A. Mild kidney disease
Correct Incorrect Correct answer

B. Chronic kidney disease – stage 2 with increased albuminuria
Correct Incorrect Correct answer

C. Chronic kidney disease – stage 3a with moderately increased albuminuria
Correct Incorrect Correct answer

D. End-stage renal disease
Correct Incorrect Correct answer
Question 3 of 10
3. Question
3. What would the optimal HbA1c for Mr R be?
A. A target of 6.5-7.0% without hypoglycaemia is ideal as this will reduce his risk of further kidney and cardiovascular disease
Correct Incorrect Correct answer

B. A target of 7.0-7.5% is recommended
Correct Incorrect Correct answer

C. A target of <8.0% is considered reasonable given his comorbidities and risk factors
Correct Incorrect Correct answer
Question 4 of 10
4. Question
4. What would be your strategy moving forward?
A. Reduce the dose of premixed insulin in the morning to minimise mid-morning lows
Correct Incorrect Correct answer

B. Give the premixed insulin in three doses (at each meal) instead of twice daily
Correct Incorrect Correct answer

C. Consider a basal insulin with additional prandial medication
Correct Incorrect Correct answer

D. Increase the dose of premixed insulin throughout the day to ensure a lower HbA1c
Correct Incorrect Correct answer
Question 5 of 10
5. Question
5. You elect to start insulin glargine U300, 60u daily at night time with small doses of prandial insulin at each meal time. What side effects do you
anticipate?
A. Risk of hypoglycaemia at night due to the large dose of basal insulin
Correct Incorrect Correct answer

B. Potential weight gain when switching insulins
Correct Incorrect Correct answer

C. Increased risk of cardiovascular disease
Correct Incorrect Correct answer

D. Few side effects are expected but it is important to advise the patient on injection technique
Correct Incorrect Correct answer
Question 6 of 10
6. Question
6. The dose of insulin glargine U300:
A. Should be titrated upwards
Correct Incorrect Correct answer

B. Should remain the same
Correct Incorrect Correct answer

C. Should be titrated downwards
Correct Incorrect Correct answer
Question 7 of 10
7. Question
7. Post-prandial elevations indicate that:
A. Basal insulin should be increased
Correct Incorrect Correct answer

B. Prandial insulin doses should be increased throughout the day
Correct Incorrect Correct answer

C. Prandial insulin doses should be better matched to carbohydrate intake
Correct Incorrect Correct answer

D. Prandial insulin should be discontinued completely in favour of a different medication
Correct Incorrect Correct answer
Question 8 of 10
8. Question
8. The patient sometimes attends evening functions/meetings, arriving home late, so he is unable to take his insulin at exactly the same time every day. How do you advise him?
A. Standardise throughout as insulin glargine U300 should be taken at exactly the same time every day so he needs to take the insulin to his meetings and inject there
Correct Incorrect Correct answer

B. He can continue taking the Gla300 at bedtime regardless of what time that is
Correct Incorrect Correct answer

C. He should switch to taking the Gla300 in the morning
Correct Incorrect Correct answer
Question 9 of 10
9. Question
9. Although his HbA1c has dropped, it is still not at target of <7%. The main consideration in respect of finally reducing his HbA1c to <7% would be:
A. Basal insulin needs to be increased to target better fasting glucose values
Correct Incorrect Correct answer

B. Attention should be targeted at post-prandial glucose levels
Correct Incorrect Correct answer

C. Further weight loss is the only way to reduce his HbA1c
Correct Incorrect Correct answer

D. Regular physical exercise is the only way to reduce his HbA1c
Correct Incorrect Correct answer
Question 10 of 10
10. Question
10. Given the difficulty in adjusting prandial insulin, what alternatives could you offer to Mr R? (which option is INCORRECT?)
A. Suggest only adjusting doses of prandial insulin at breakfast and dinner and taking a standard dose at lunch time (based on average meal sizes)
Correct Incorrect Correct answer

B. Consider the use of a GLP-1 agonist in place of prandial insulin
Correct Incorrect Correct answer

C. Consider the use of an SGLT-2 inhibitor in place of prandial insulin
Correct Incorrect Correct answer

D. Consider adding high-dose sulphonylurea medication to stimulate more endogenous insulin secretion
Correct Incorrect Correct answer

All Rights Reserved 2025 © deNovo Medica (Pty) Ltd in South Africa. The content on this website is intended for healthcare related professionals unless stated otherwise.

Get involved

Become a sponsor Become a medical partner author/reviewer/society

Get involved

Become a sponsor Become a medical partner author/reviewer/society

Login

Accessing this module requires a login. Please enter your credentials below!

Username or Email Address

Password

Remember Me

Lost Your Password?