Easy Insulin

Question 1

Humalog

Answer 1

Rapid acting insulin

Question 2

Novorapid

Answer 2

Rapid acting humalog

Question 3

Apidra

Answer 3

Rapid acting insulin

Question 4

Humulin S

Answer 4

Short-acting

Question 5

Humulin I

Answer 5

Intermediate acting

Question 6

Actrapid

Answer 6

Short acting

Question 7

Insuman rapid

Answer 7

Short acting

Question 8

Insuman basal

Answer 8

Intermediate acting

Question 9

Lantus

Answer 9

Long acting

Question 10

Levemir

Answer 10

Long acting

Question 11

Basal insulin accounts for roughly how much of insulin produced?

Answer 11

50% of insulin

Question 12

Evaluation of metabolic control

Answer 12

Home Blood Glucose Monitoring
Urine Testing (Glucose/ Ketones)
Glycated Hemoglobin (HbA1C)
(Continuous glucose monitor)

Question 13

HbA1c criteria for diabetes diagnosis

Answer 13

Recently added as another criteria for the diagnosis of diabetes (HbA1c ≥6.5%)

Question 14

Target HbA1c?

Answer 14

48 mmol/mol (58mmol/mol if at risk of hypos)

Question 15

Blood glucose targets? Pre-prandial and post meal?

Answer 15

Pre-Prandial 4-7 mmol

Post meal <10

Question 16

Dose Adjustment General Principles

15mmol/l?

Answer 16

15 mmol/l = increase by 4 units

Question 17

When do you need IV glucose?

Answer 17

DKA
HHS
Acute illness
Fasting/patients who are unable to tolerate oral intake

Question 18

Measurements of IV insulin management

Answer 18

Hourly blood glucose (BG) monitoring
Aim for BG 5 -12 mmol/L
Free of hypoglycaemia
Check ketones if BG > 12 mmol/L
Check U & E’s at least daily 
Safe transition from IV to SC insulin