Table 2.

Percentage incorrect answers on the knowledge of insulin use test

Item	% (n) incorrect	Question (correct answer is in bold)
15	81.5 (44)	Signs of ketoacidosis include:
		a. Shakiness
		b. Sweating
		c. Vomiting
		d. Low blood glucose
16	55.6 (30)	If you are sick with flu, which of the following changes should you make
		a. Take less insulin
		b. Drink less liquids
		c. Eat more proteins
		d. Test for glucose and ketones more often
17	88.9 (48)	If you have taken intermediate-acting insulin (NPH or Lente), you are most likely to have an insulin reaction in:
		a. 1–3 hours
		b. 6–12 hours
		c. 12–15 hours
		d. more than 15 hours
18	61.1 (33)	You realize just before lunch time that you forgot to take insulin before breakfast. What should you do know?
		a. Skip lunch to lower your blood pressure
		b. Take the insulin that you usually take at breakfast
		c. take twice as much insulin as you usually take
		d. Check your blood glucose level to decide on how much insulin to take
19	75.9 (41)	If you are beginning to have an insulin reaction, you should
		a. Exercise
		b. Lie down and rest
		c. Drink some juice
		d. Take regular insulin
20	46.3 (25)	Low blood glucose may be caused:
		a. Too much insulin
		b. Too little insulin
		c. Too much food
		d. Too little exercise
21	59.3 (32)	If you take your morning insulin but skip breakfast, Your blood glucose will usually:
		a. Increase
		b. Decrease
		c. Remain the same
13	33.3 (18)	High blood glucose may be caused by:
		a. Not enough insulin
		b. Skipping meals
		c. Delaying your snack
		d. Large ketones in your urine
23	77.8 (42)	Which one of the following will most likely cause an insulin reaction
		a. Heavy exercise
		b. Infection
		c. Overeating
		d. Not enough insulin