13th November 2020

A 25-year-old male with type 1 diabetes is seen in clinic with erratic blood sugars

A 25-year-old male with type 1 diabetes is seen in clinic with erratic blood sugars. Despite adhering to his basal-bolus insulin regimen, he has had three hypoglycaemic episodes in the last year and is suffering anxiety because of this, resulting in time off work and reduced quality of life. On further questioning his injection technique is good, he self-monitors his blood glucose well and has no evidence of any organic cause for his erratic blood glucose. 

For the patient above, please select which ONE of the insulins would be most appropriate for him to be started on. Select ONE option from the list above.