Insulin Regimens And Hypoglycemia Management Practice Test

A 52-year-old client with type 2 diabetes is in an outpatient clinic for follow-up. The current insulin regimen is insulin NPH 10 units subcutaneously at 0700 and 10 units at 1900, plus insulin regular 5 units subcutaneously 30 minutes before breakfast and dinner. The client reports waking at night with sweating and palpitations; a 0300 blood glucose check was 54 mg/dL (expected fasting 70–99 mg/dL). History includes recent decreased evening food intake to lose weight. The nurse should QUESTION which part of the client's insulin regimen?

A 28-year-old client with type 1 diabetes is seen in an outpatient clinic for insulin education. The regimen is insulin glargine 22 units subcutaneously at bedtime and insulin lispro with meals using carbohydrate counting. Recent self-monitoring shows pre-lunch blood glucose values of 58–65 mg/dL for the last 3 days (expected fasting 70–99 mg/dL), and the client reports mid-day shakiness and sweating. History includes recent increase in exercise during lunch breaks. What teaching point is MOST important for the client regarding insulin administration?