16th September 2024

A 22-year-old male attends the diabetes clinic for his annual review of type 1 diabetes. He reports episodes of collapsing

A 22-year-old male attends the diabetes clinic for his annual review of type 1 diabetes. He reports episodes of collapsing without awareness, and when family members check his glucose levels during these episodes, they often find values below 3 mmol/l. He monitors his blood glucose levels four times daily, typically registering readings above 7 mmol/l. His target glucose levels are 5 to 7 mmol/l upon waking and 4 to 7 mmol/l before meals. His HbA1c is 7.5%. He asserts consistent adherence to his insulin regimen without missing doses. Currently, he is using once-daily glargine for basal insulin and actrapid before meals for bolus coverage. Which of these options would NOT be recommended in this situation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.