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7248 Medicine

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

AIncreasing the 7 AM dose of NPH insulin
BIncreasing both 7 AM and 8 PM doses of NPH insulin
CIncreasing the 7 AM dose of regular insulin
DIncreasing both the 7 PM and 8 PM dose of regular insulin
Medicine
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