Which action for morning fast-acting insulin?

Which action for morning fast-acting insulin?

• A. Hold fast-acting insulin
• B. Increase fast-acting by 50%
• C. Maintain full dose
• D. Skip all insulin

Answer: (A)

When you’re fasting in the morning, the bolus or fast-acting insulin is meant to cover carbohydrate intake from a meal. If there’s no food, giving that rapid-acting dose can lower blood glucose too much and lead to hypoglycemia during the fasting period. So the best action is to hold the morning fast-acting insulin. You would typically keep any necessary basal insulin as prescribed to maintain baseline glucose, and you would resume the usual bolus dosing once meals are back on the schedule. Increasing the dose, maintaining the full dose, or skipping all insulin aren’t appropriate in this fasting scenario, as they either raise hypoglycemia risk or disrupt necessary glucose control established by the regimen.

When you’re fasting in the morning, the bolus or fast-acting insulin is meant to cover carbohydrate intake from a meal. If there’s no food, giving that rapid-acting dose can lower blood glucose too much and lead to hypoglycemia during the fasting period. So the best action is to hold the morning fast-acting insulin. You would typically keep any necessary basal insulin as prescribed to maintain baseline glucose, and you would resume the usual bolus dosing once meals are back on the schedule. Increasing the dose, maintaining the full dose, or skipping all insulin aren’t appropriate in this fasting scenario, as they either raise hypoglycemia risk or disrupt necessary glucose control established by the regimen.