Diabetes Flashcards
What are the rapid acting insulin analogs (3)
Humalog
Novoropid
Apidra
When do you give novorapid
Just before a meal
What are the short acting insulin analogs (soluble 3)
Humulin s
Actrapid
Insuman rapid
When do you give soluable insulins
15-30 mins before meal
What are the intermediate acting insulin (3)
Humulin I
Insulatard
Insuman basal
When do you give intermediate acting insulins
Once or twice a day
Long acting insulins (3)
Glargine (lantus)
Detemir (levemir)
Degludac (tribesa)
When do you give long acting insulins
Once or twice a day
Which mixtures of insulins do you give just before meals
Humalog m25
Humalog m50
Novomix 30
Which insulin mixtures do you give 15-30 mins before meal
Humulin m3
Insuman combo 15/25/50
Symptoms of hypo
Shaking sweating palpitations hungry, pins and needles in lips and tongue, slurred speech confusion, convulsions, unconcious
Blood glucose of hypo
Less than 4
If glucose is above 4 with hypo symptoms
Give small carbohydrate snack (e.g. a slice of bread)
If glucose is less than 4 and conscious and able to swallow
Fast acting carb by mouth (e.g. lift/ 4-5 glucose tabs/ 2 tubes of glucogel/ glass of fruit juice/3-4 heaped tsp of sugar in water)
May need to repeat after 10-15 mins up to 3 times
Then once bs is above 4 give long acting carbohydrate
If glucose is below 4 and unconcious
IM glucagon -no response after 10 mins
IV glucose 10 or 20%
