Diabetes Kania Part 2 Flashcards
What are the clinical uses of insulin?
-Type 1 and type 2 diabetes
-Hyperkalemia
-Gestational diabetes
What can increase insulin absorption and action
-Heat
-Exercise/massage
Which routes of administration are the fastest
IV>IM>SQ
How to mix short-acting and NPH insulin together
Draw up regular insulin before NPH and make sure none of the regular insulin gets in the NPH vial
Possible sites of injection of insulin
-Stomach (fastest)
-Buttocks
-Thigh
Ultra-short acting insulins
Aspart, Lispro, Glulisine
Short-acting insulins
Regular
Intermediate insulins
NPH
Long-acting insulins
Glargine, detemir
Ultra long-acting
Degludec
Aspart onset
10-20 min
Lispro onset
10-20 min
Glulisine onset
10-20 min
Regular onset
30-60 min
NPH onset
2-4 hours
Glargine onset
2-4 hours
Detemir onset
1.5-4 hours
Degludec onset
1 hour
Aspart peak
30-90 min
Lispro peak
30-90 min
Glulisine peak
30-90 min
Regular peak
2-4 hours
NPH peak
4-10 hours
Glargine peak
No peak