JK is a 19-year-old male college student with T1DM. He is away from home and is reportedly drinking and eating poorly. His school schedule is erratic so he eats at all different times of the day. He currently takes extended long-acting analogue insulin once per day. Around 8 pm, his blood sugars are falling very low. HT: 5'10" WT: 175 pounds Hemoglobin A1C 9% What is likely the cause of JK's low
blood sugar at 8 pm?
a. his insulin dosage is too high
b. he is eating too much
c. he is exercising too much
d. he is not exercising enough
e. timing and peak of his insulin are not matching his intake
e
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