Diabetes

Question 1

Rapid acting types

Answer 1

LISPRO ( humalog)

Apspart ( novolog)

GLULISINE (apidra)

Question 2

Show acting types

Answer 2

Regular insulin

Humulin, novolin

Question 3

Intermediate acting types

Answer 3

NPH

Question 4

Long acting types

Answer 4

Glargine (lantus)

Detemir (levemir)

Question 5

Metformin

Answer 5

Decrease glucose production by the liver, increases tissue response to insulin

Effects: GI disturbances, lactic acidosis, weight loss

Iv contrast is a NO

Question 6

Rapid acting

Answer 6

Bolus

Covers insulin needs for meals eaten at the same time as the injection and used with longer acting insulin

Given to manage post prandial blood sugar and to manage transient hypoglycemia

Onset:5-15 min
Peak: 1 hr
Duration: 3hr

Question 7

Short acting insulin

Answer 7

Covers insulin needs for meals eaten within 30-60 mins

Regular is used for iv pump (vosulin)

Onset:30-60 min
Peak: 2hr
Duration: 8hr

Question 8

Intermediate acting

Answer 8

Covers insulin needs for about half the day or overnight and is often combined with rapid OR short acting

Onset: 2hr
Peak: 8hr
Duration: 16 hr

No predictable- can’t peak when blood sugar is at lowest

Question 9

Long acting (basal)

Answer 9

Covered insulin need for about 1 full day and is often combined (when needed) with rapid or short acting

Onset: 2hr
NO PEAK
duration: 24 hr

Question 10

Pre mixed insulin

Answer 10

Combination of specific proportions of intermediate acting & short acting insulin in one bottle or insulin pen

Generally taken twice a day before mealtime

Question 11

Insulin is in shots bc

Answer 11

Insulin is destroyed by gastric juices, rendering it ineffective