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Question of the Week | C’est la vie with Different Time Zones & Diabetes?

BT is heading to the south of France for a 25th wedding anniversary vacation. They usually take 32 units of glargine at 10 PM each night along with 5-7 units of bolus insulin with meals. There is a nine hour time difference between the United States and France.

They ask you how to adjust their basal insulin. What is the best response?

  1. Split the glargine into 16 units and take it twice a day to maintain blood glucose stability.
  2. Try to get an insulin pump before heading on vacation to improve insulin delivery flexibility.
  3. Continue taking the glargine every 24 hours regardless of time zone differences.
  4. Take the bolus insulin with each meal and hold the glargine for 9 hours.

Click Here to Test your Knowledge


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