Type 1 Diabetes On in Medicine / Internal Medicine — 37yo Man | Endocrinology | SMLE Q#11578
SMLE Question #11578
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 37-year-old man with type 1 diabetes on insulin glargine nightly and insulin aspart before meals develops recurrent symptomatic hypoglycemia 60–90 minutes into intense evening basketball and for hours afterward, despite his usual pre-exercise meal. On non-exercise days, glucose readings are stable without hypoglycemia. What is the most appropriate insulin adjustment on days he plans intense exercise?
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