A patient with type 1 diabetes is scheduled for a procedure at 0700 and must remain NPO after midnight.The patient's capillary blood glucose (CBG)at 2100 is 96 mg/dL.Which medication should the nurse administer as ordered?
A)Glargine (Lantus)20 units subcutaneously at bedtime daily
B)Glyburide (Micronase, DiaBeta)5 mg by mouth daily before breakfast
C)Insulin aspart (NovoLog)10 units subcutaneously before meals
D)Insulin aspart (NovoLog)(CBG - 100)/30 units subcutaneously before meals and at bedtime for CBG more than 150 mg/dL

Question

Quizplus · Accepted Answer

Glargine (Lantus) is a long-acting insulin that maintains blood glucose levels and is appropriate for overnight control, especially when fasting for a procedure. Glyburide is not suitable for type 1 diabetes, and insulin aspart is a rapid-acting insulin used before meals or for correction, not suitable for overnight fasting conditions.

A Patient with Type 1 Diabetes Is Scheduled for a Procedure