Answer 1 is incorrect. 21.01% chose this answer. “This must seem overwhelming, but I believe that you can do this.” Even though this response affirms KR’s ability to count carbs and adjust insulin coverage, it is not a realistic expectation. Given KR’s learning disability and his feelings of being overwhelmed, this complicated insulin management strategy is not the best approach for KR. We need to keep the insulin plan simple, until KR is ready to move forward.

Answer 2 is incorrect. 12.67% of you chose this answer. “Let’s review carb counting again, so you feel more confident about calculating your dose.”  While this is a compassionate response, it does not take into account the complexity of the overall insulin management strategy and KR’s feelings of being overwhelmed. We need to keep the insulin plan simple, until KR is ready to move forward.

Answer 3 is incorrect. About 16.84% of respondents chose this. “Many people starting on insulin feel overwhelmed, but with time it gets easier.” This is a compassionate response that doesn’t address the main issue. The insulin plan is not realistic for this individual with a learning disability. We need to keep the insulin plan simple, until KR is ready to move forward.

Finally, Answer 4 is correct. 49.48% chose this answer. “Let’s start the basal insulin first, then we can tackle the meal bolus when you are ready.”  YES, this is the best answer and most of you chose this.  GREAT JOB.  We need to keep the insulin plan simple, until KR is ready to move forward.  Start with basal insulin first, until KR seems ready to add on bolus insulin at meals.

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!