Blood Glucose Monitoring And Insulin Administration

Question 1

Fasting blood glucose levels
(Patient must begin fast 6-8 hrs prior to lab draw of blood glucose levels)

Normal
Pre-diabetes
Diabetes

Answer 1

Normal: 60-100mg/dL
Pre-diabetes: 101-125 mg/dL
Diabetes: ≥ 126 mg/dL

Question 2

Hemoglobin A1C

Diagnostic for diabetes
Indicative of increased risk for diabetes

Answer 2

Diagnostic: > 6.5%

Indicative of increased risk: 5.7-6.4%

Question 3

Rapid Acting

Answer 3

“Humalog” (insulin lispro)
“Novolog” (insulin aspart)

Have meal ready at patient’s bedside first

Clear
Onset: 5-10 mins
Peak: 1 hour
Duration: 2-4 hrs

Question 4

Short Acting

Answer 4

“Humulin R” (regular)
“Novolin R” (regular)

Administer 30 mins prior to meal intake

Clear
Onset: 30 mins-2 hrs
Peak: 2-4 hrs
Duration: 4-6 hrs

Question 5

Intermediate Acting

Answer 5

“Humulin N” (NPH)
“Humulin L” (Lente)

Cloudy
Onset: 2-4 hrs
Peak: 4-10 hrs
Duration: 10-16 hrs

Question 6

Long Acting

Answer 6

"Humulin U" (Ultralente)
Clear
Onset: 6-10 hrs
Peak: None
Duration: 18-20 hrs

"Lantus" (insulin glargine) = cannot be mixed b/c 4.0 pH
Clear
Onset: 1 hour
Peak: None
Duration: 24 hrs

"Levemir" (insulin detemir)
Clear
Onset: unknown
Peak: 6-8 hrs
Duration: Dose dependent, 12-24 hrs

Question 7

Intermediate/Short Acting Mixture

Answer 7

“Humulin 70/30” (Premixed 70% NPH and 30% regular)

Cloudy
Onset: 30 min-1.5 hrs
Peak: Dual
Duration: 10-16 hrs

Question 8

Insulin

Onset of action
Peak of action
Duration of action

Answer 8

Insulin is a double check medication and administration requires signature of 2 licensed RNs

Onset: indicates when risk for hypoglycemia begins
Peak: indicates the time of greatest risk for hypoglycemia
Duration: how long the risk for hypoglycemia is present

Question 9

1 ml of U-100 insulin

Answer 9

100 units of insulin