Arab Board Family Medicine Clinical Practice Questions - Arab Board Family Medicine Final Clinical And Oral Examination (ABHS) Exam

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A 48-year-old man with type 1 diabetes on insulin glargine at bedtime and insulin aspart before meals reports waking up with high fasting blood glucose levels (14–16 mmol/L). He complains of vivid nightmares, night sweats, and morning headaches. Checking his blood glucose at 03:00 AM reveals a level of 2.6 mmol/L. What is the most appropriate management strategy for his morning hyperglycemia?

Increase the bedtime insulin glargine dose Reduce the bedtime insulin glargine dose Add a rapid-acting insulin dose at 03:00 AM Switch insulin glargine to regular human insulin at bedtime

Correct Answer:

Reduce the bedtime insulin glargine dose

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