Diabetes and insulin Flashcards

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1
Q

what are the short-duration rapid acting insulins?

A

lispro, aspart, glulisine

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2
Q

what is the onset, peak and duration of action of short-duration rapid acting insulin?

A

onset 5 to 15 min
peak 1 to 2 h
duration 4-6 h

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3
Q

what is short duration-slower acting insulin?

A

unmodified human insulin

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4
Q

what is the onset, peak, and duration of short duration - slower acting insulin?

A

onset 1/2 - 1 h
peak 2-4 h
duration 6-8 h

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5
Q

what are intermediate duration insulins?

A

NPH

detemir

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6
Q

what is the onset, peak, ad duration of NPH?

A

onset 1 -2 h
peak 4-6 h
duration >12 h

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7
Q

what is the only insulin that can be mixed with other insulins?

A

NPH

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8
Q

what is the order of drawing when mixing insulin

A

air in NPH
air in short-acting
draw short-acting
draw up NPH

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9
Q

how long are pre-drawn insulin syringes good for?

A

28 days

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10
Q

what is a long acting insulin?

A

glargine

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11
Q

what is the onset, peak, and duration of long acting insulin?

A

onset 1.5 h
peak (not really a peak but max effect in 5 hours)
duration 24 hours

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12
Q

which insulin is cloudy?

A

NPH

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13
Q

what is the preferred test to diagnose diabetes?

A

fasting plasma glucose test

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14
Q

what is the fasting plasma glucose test?

A

fast for 8 h
blood drawn
if BG > or = to 7 then diabetes

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15
Q

what is the casual plasma glucose test?

A

Blood drawn without regard for last meal

Diabetes = > or equal to 11.1 mmol/L AND the patient has classic signs

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16
Q

what is the Oral Glucose Tolerance Test ?

A

given 75 g of glucose
BG measured 2 h later
Diabetes = > or equal to 11.1 mmol/L

17
Q

what is the target for HBA1c?

A

< 7%