Different Types of Insulin

Question 1

Rapid Acting

Answer 1

• Aspart (NovoLog), Lispro (Humalog), Glulisine (Apidra)*

Onset: Within 15 minutes
Peak: 1-3 hours
Duration: 3-5 hours

Question 2

Short Acting

Answer 2

• Regular (Humulin R, Novolin R)

Onset: 0.5-1 hour
Peak: 2-4 hours
Duration: 5-8 hours

Question 3

Long Acting

Answer 3

Glargine (Lantus)
> Onset: 2-4 hours
> Peak: 8-12 hours
> Duration: 22-24

Detemir (Levemir)
> Onset: 1-2 hours
> Peak: 4-7 hours
> Duration: 20-24

Question 4

Oral Medications

Answer 4

Metformin:
> Onset: Unknown
> Peak: 2-3 hours
> Duration: Unknown

Glyburide
> Onset: 1 hour
> Peak: 2-3 hours
> Duration: Greater than or equal to 24 hours

Question 5

Glucagon

Answer 5

• USED IN SEVERE HYPOGLYCEMIA*

Onset: 10 mins
Peak: 30-45 mins
Duration: At least 90 mins

Question 6

Adverse Effects of Oral Diabetic Medications

Answer 6

1. Headache
2. Dizziness
3. Flatulence
4. GI distress
5. Edema
6. Liver Enzyme Elevations