— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位第一型糖尿病病人正在使用甘精胰島素（Insulin Glargine）。哪句話顯示病人對藥物有正確理解？
A client with type 1 diabetes is receiving insulin glargine. Which statement indicates the client understands the medication?
- AI will take this medication before every meal to control post-meal spikes我會在每餐前服用此藥物以控制餐後血糖飆升
- BI should mix this with regular insulin in the same syringe我應該將此藥物與常規胰島素混合在同一支注射器中
- CThis insulin provides a steady background glucose control for 24 hours✓ 正解此胰島素可提供長達 24 小時穩定且平緩的背景血糖控制
- DI need to eat a snack within 30 minutes of taking this to avoid hypoglycemia我需要在服用此藥物後 30 分鐘內吃點心以避免低血糖
— Explanation · 中文詳解 —
甘精胰島素（Glargine）為長效型胰島素，無尖峰作用（Peakless），提供全天 24 小時的基礎血糖控制，不可與其他胰島素混合（因酸鹼值不同）。A 選項為速效胰島素用途，D 選項為短效胰島素才需擔心的尖峰低血糖風險。
Insulin glargine is a long-acting basal insulin that provides steady glucose control for approximately 24 hours without a distinct peak. Clients should understand that it is not used for mealtime coverage and does not require a snack after administration to prevent hypoglycemia.
✦ 台美臨床差異
兩地臨床胰島素注射衛教重點皆強調不可混藥原則。