Diabeetus/Insulin

Question 1

Insulin effects on Glucose metabolism

Answer 1

Stimulates glucose to be stored as glycogen in liver/muscle

-Inhibits production of glucose in liver

Question 2

Insulin effects on Lipoproteins

Answer 2

• Enhance fat deposition

- inhibits breakdown of trigycerides

Question 3

Insulin effects on Ketones

Answer 3

-Inhibits ketones

Makes sense- not enough insulin= high bloodsugars, which can lead to ketoacidosis

Question 4

Insulin effects on protein metabolism

Answer 4

• stimulates protein production

- prevents proteins from being broken down

Question 5

3 types of diabetes:

Answer 5

• Type I (juvenile, insulin dependent)
• Type II (Non-insulin dependent, adult onset)
• Gestational diabetes

Question 6

Can a type one diabetic manage their disease with pills and diet?

Answer 6

-No, type one diabetics are insulin dependant

Question 7

Lispro (Humalog) insulin

Answer 7

Rapid Acting

ONSET: 10-15min
PEAK: 1 hour
DURATION: 2-4 hours

Note Feed immediately after injection

Question 8

Aspart insulin (Novolog)

Answer 8

Rapid Acting

ONSET: 5-15min
PEAK: 40-50min
DURATION: 2-4 Hours

Note Feed immediately after injection

Question 9

Regular insulin

Answer 9

Short acting

ONSET: 1hr to 1.5hr
PEAK: 2-3 hrs
DURATION: 4-6hr

Note Clear. Draw first.

Question 10

You are to give 4 units of NPH insulin, and 4 units of Regular. Which do you draw up first?

Answer 10

Regular (clear) then NPH (cloudy)

Question 11

NPH Insulin

Answer 11

Intermediate acting

ONSET: 2-4 hours
PEAK: 4-12 hours
DURATION: 16-20 hours

Note Cloudy. Draw second

Question 12

Glargine (Lantus)

Answer 12

Very long acting

ONSET: 1 hour
PEAK: No peak
DURATION: Basal dosing

note Never mix with other insulins

Question 13

You receive an order for insulin IV. You know to question the order if it is NOT __________.

Answer 13

Regular insulin

Regular is the only approved insulin for IV usage

Question 14

____ cells located in the __________ in the ______ produce insulin

Answer 14

Beta cells located in the Islets of langerhan’s in the Pancreas produce insulin

Question 15

Exocrine function of Pancreas

Answer 15

-Releasing digestive juices to duodenum

Question 16

Endocrine function of Pancreas

Answer 16

-Hormone production

Question 17

The pancreas continuously reduces small amounts of insulin between meals, known as ____ insulin

Answer 17

Basal