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Dentistry · Orthodontics: dental care of diabetic patients
Sample itemA diabetic patient on insulin needs an extraction. Which scheduling advice is best?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Give a morning appointment after a normal breakfast and insulin
Morning appointments after normal meals and medication reduce the risk of hypoglycaemia and use the time of best endogenous cortisol and glycaemic stability. Glycaemic control should be adequate before elective surgery.
Option by option
A. Late evening appointment without food
A late appointment without food risks hypoglycaemia.
B. Fast from the night before
Fasting with insulin risks hypoglycaemia.
C. Give a morning appointment after a normal breakfast and insulin (correct)
Correct. A morning visit after breakfast and insulin is advised.
D. Skip insulin on the day
Skipping insulin risks hyperglycaemia and infection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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