Diabetes Mellitus Flashcards

1
Q

What are the different types of insulin?

A

Ultra fast acting
Fast acting
Intermediate acting
Biphasic
Ultra long acting

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2
Q

What are the types of insulin that are ultra fast acting?

A

Lispro, Aspart and Glulisine

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3
Q

What is the onset of action for Lispro, Aspart and Glulisine?

A

10-15 mins

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4
Q

What is the duration of action for Lispro, Aspart and Glulisine?

A

3-5 hours

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5
Q

What is the peak action for Lispro, Aspart and Glulisine?

A

45-90 mins

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6
Q

How is Lispro, Aspart and Glulisine administered?

A

Subcutaneous injection

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7
Q

What is the only short acting insulin?

A

Soluble Zn-insulin complex

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8
Q

When is short acting insulin administered?

A

In an emergency through an IV

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9
Q

What is the onset of action for the Zn-insulin complex?

A

30 mins

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10
Q

What is the duration of action for the Zn-insulin complex?

A

6-8 hours

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11
Q

What are the intermediate acting insulins?

A

Insulin formulated with Zn or protamine (protamine in phosphate buffer= isophane)

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12
Q

What is the ratio of insulin to protamine?

A

6:1

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13
Q

What is the onset of action of intermediate acting insulin?

A

1-3 hours

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14
Q

What is the duration of action of intermediate acting insulin?

A

18-20 hours

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15
Q

What is premixed insulin?

A

A combo of short and intermediate acting insulin. They are biphasic insulins

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16
Q

What is premixed insulin?

A

A combo of short and intermediate acting insulin. They are biphasic insulins

17
Q

What are the long-acting insulins?

A

Glargine, Detemir and Degludec

18
Q

What is premixed insulin?

A

A combo of short and intermediate acting insulin. They are biphasic insulins

19
Q

What are the long-acting insulins?

A

Glargine, Detemir and Degludec

20
Q

What are the long-acting insulins?

A

Glargine, Detemir and Degludec

21
Q

What are the 3 preparations of premixed insulin?

A

30% soluble, 70% Isophane
25% Lispro, 75% Lispro Protamine
30% Aspart, 70% Protamine Aspart

22
Q

What are the long-acting insulins?

A

Glargine, Detemir and Degludec

23
Q

T or F - Glargine is conjugated with Zn molecules?

24
Q

What is the onset of action of Glargine?

25
What is the duration of action of Glargine?
24 hpurs
26
What is the onset of action of Detemir?
1-2 hours
27
What is the duration of action of Glargine?
24 hours
28
What is the onset of action of Detemir?
1-2 hours
29
What is the duration of action of Detemir?
20 hours
30
What is the onset of action of Degludec?
30-90 min
31
What is the duration of action of Degludec?
over 24 hours
32
What are the drug interactions of insulin that cause hyPERglycaemic effects?
Glucocorticosteroids, estrogens, glucagon, diuretics
33
What are the drug interactions of insulin that cause hyPOglycaemic effects?
Alcohol, Salicylates (asprin), Beta blockers, ACE inhibitors [Beta blockers mask hypoglycemia]
34
What are the drug interactions of insulin that cause hyPOglycaemic effects?
Alcohol, Salicylates (asprin), Beta blockers, ACE inhibitors [Beta blockers mask hypoglycemia]
34
What are the adverse effects of insulin therapy?
Lipohypertrophy/lipodystrophy Hypoglycemia Allergic skin rxns