diabetes extra

Question 1

what angle does insulin need to be injected at

Answer 1

SC - usually 45 degrees

may be at 90 degrees in some instances

Question 2

should you withdraw needle immediately after injecting insulin

Answer 2

The needle should be left in the skin for 5–10 seconds (or longer for larger doses) to ensure the entire dose is injected and to prevent leakage.

Question 3

should you inject insulin immediately after taking it out of fridge

Answer 3

leave insulin at room temp for at least 30 mins before injecting - more comfortable

Question 4

should you use alcohol wipes before injecting insulin on ur skin

Answer 4

avoid, they can make injection more painful and harden skin

Question 5

Which ones have higher risk of pancreatitis

Answer 5

GLP1 and DDP4

Question 6

which ones cause weight gain

Answer 6

insulin, SU, pioglitazone

Question 7

which ones are weight neutral or loss

Answer 7

metformin and DDP4 - neutral
SGLT2i and GLP1 - weight loss

Question 8

Patient has come into your pharmacy. They say they have shortness of breath, weakness and have been feeling cold recently, not been urinating as much and confused. Which drug is most likely to be responsible and why: ramipril mesalazine Metformin atorvastatin

Answer 8

stop metformin & go to A&E
signs of lactic acidosis

Question 9

Signs of lactic acidosis

Answer 9

exhaustion, weakness, muscle pain or weakness, body weakness, abdominal pain, diarrhoea, headache, breathing problems, feeling cold esp arms and legs, stomach discomfort