diabetes extra

Question 1

what angle does insulin need to be injected at

Answer 1

90 degrees

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. 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