Question

Morton has type 2 diabetes. His treatment, which includes diet, exercise, and 3 oral antidiabetic agents at maximum dose, is insufficient to achieve acceptable glycemic control. Your next course of action is to:

a. Give the patient a sliding scale with mealtime coverage with regular insulin.

b. Add a dosage of long-acting insulin at bedtime to the regimen.

c. Discontinue the oral antidiabetic agents and start insulin therapy with N and R.

d. Suggest treatment using an insulin pump.

Answer 1

The next course of action for Morton, who has type 2 diabetes and has not achieved acceptable glycemic control with his current treatment, would be to discontinue the oral antidiabetic agents and start insulin therapy with N and R insulins.

Step-by-step explanation:

The next course of action for Morton, who has type 2 diabetes and has not achieved acceptable glycemic control with his current treatment, would be to c. Discontinue the oral antidiabetic agents and start insulin therapy with N and R. This means that Morton would stop taking the oral antidiabetic agents that he is currently on and begin insulin therapy using N and R insulins.

Insulin therapy is the most effective treatment for type 2 diabetes when other methods like diet, exercise, and oral medications are insufficient. N and R insulins are commonly used in managing type 2 diabetes. N insulin (Neutral protamine Hagedorn insulin) is an intermediate-acting insulin that provides a basal level of insulin throughout the day. R insulin (Regular insulin) is a short-acting insulin that is taken before meals to help control blood glucose levels after eating.

By starting insulin therapy, Morton can better control his blood glucose levels and achieve acceptable glycemic control.