Diabetes - Insulin Flashcards
Lipidodistrophy can be avoided by
rotating injection site
Problem with inj into the limbs?
use of muscles can increase rate of absorption
when would you adjust the ration of short to long acting insulin in a mix?
post prandial hyperglycaemia
Two things that reduce warning signs of hypos
having hypos often beta blockers (they also slow down recovery from hypos)
converting from what animal insulin requires dose adjustment
beef to human = reduce by 10%
most suitable form of insulin for diabetic emergencies e.g DKA
soluble
name four long acting insulins
Lantus - glargine
Levimir - detemir
Tresiba - degludec
what insulin comes in TWO DIFFERENT STRENGTHS
Tresiba - degludec
Name 3 rapid acting insulins
Novorapid - aspart
Humalog - lispro
Apidra - glusin
NAme 4 short acting insulins
act rapid
Humulin S
Insoman Rapid
Name 3 intermediate acting insulins
Humulin I
Insulatard
Insuman basal
what target blood glucose levels
Always between 4 and 9
before meals 4-7
after meals under 9
In community pharmacy what should you do when giving out insulin?
show the patient the container to confirm
What are major sources of error in hospital from insulin
abbreviating the word units
administering long and short acting the wrong way round
how does diet differ with people using basal bolus or mixed insulin
adjust carbs to mixed insulins
adjust insulin to the carbs being eaten
