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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

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The diabetes consult

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Question 1 of 5

1. Question

1. Which of the following statements are the correct, best practice introduction to the possibility of insulin therapy for a patient

A. Be gentle, empathetic and kind
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B. Explain again the physiology and progressive nature of T2DM
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C. Stress we need to consider other therapies to improve the situation
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D. The decision must be a shared one and not rushed
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E. All of the above
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Question 2 of 5

2. Question

2. Is this statement of the expert’s persuasive to help patients achieve a more positive attitude to insulin? “Insulin therapy can free you from the diabetic prison of lifestyle adaptation where every dietary decision leads to concern about your glucose levels.”

A. True
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B. False
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Question 3 of 5

3. Question

3. When implementing insulin therapy, which of the following is NOT correct:

A. Discuss the impressive improvements in the insulins available in South Africa with their ability to optimise glucose control
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B. That the insulins available to patients in South Africa are world class
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C. Demonstrate the devices, inject yourself in front of the patient, let the patient trial a device in front of you
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D. Show that insulin injections are less painful than the fingerpick
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E. If patients do need basal-bolus insulin therapy, explain and introduce this as the first therapeutic options
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F. Explain that the first dose of insulin you are recommending is as low as possible and once comfortable, there will be a need to increase
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G. Ensure that there is a trouble-shooter available for the patient from the start
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Question 4 of 5

4. Question

4. Which of the following is not relevant when explaining about hypoglycaemia

A. Having a suitable self-testing programme
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B. Knowing the symptoms of hypoglycaemia
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C. Warn about what may provoke hypoglycaemia, e.g. lower than typical carb intake, more exercise in the preceding 24 hours
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D. If they are aware, the necessity of backup is not important
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E. Have an information sheet with their testing schedule explaining what to do/take in the case of hypoglycaemia
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Question 5 of 5

5. Question

5. Weight gain can be mitigated by:

A. Using newer insulins that do not cause so much weight gain
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B. The clinician being aware that the need for ever-increasing insulin dose needs to be investigated, e.g. poor techniques
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C. Involve nurse-educators regularly
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D. All of the above
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