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General Medicine General 49a7f6ca

A patient with IDDM injects a mixture of NPH insulin and crystalline zinc (Regular) insulin before breakfast (at 7 AM) and before dinner (at 8 PM) each day. She repos the following average self-monitored RBS for the past weekTimeBlood glucose level (mg/dl)Before Breakfast115Before lunch190Before dinner135Bed time185These data indicate that the patient should adjust her insulin regimen by

A
Increasing the 7 AM dose of NPH insulin
B
Increasing both 7 AM and 8 PM doses of NPH insulin
C
Increasing the 7 AM dose of regular insulin
D
Increasing both the 7 PM and 8 PM dose of regular insulin

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