Exam 3: Insulin

Question 1

Types of insulins

Answer 1

Bolus/Mealtime Insulin
Intermediate and Long acting Insulin

Mixtures
Inhaled insulin

Flexible Insulin Regimens

Question 2

Bolus/Mealtime Insulin when

Answer 2

before eating

Question 3

Bolus/Mealtime Insulin based on?

Answer 3

patients need to know how to CHO count

Based on amount of CHO in the meal and insulin:CHO ratio

Question 4

Intermediate and Long acting Insulin when

Answer 4

before bed
best for the periods of times the body produces endogenous glucose

liver fasting at night

Question 5

Bolus/Mealtime Insulin types

Answer 5

Rapid-acting (preferred) Short-acting

Question 6

Rapid-acting (preferred) type

Answer 6

Lispro/Humalog

Aspart/Novolog

Question 7

Rapid-acting (preferred) when

Answer 7

Taken at start of meals

Question 8

Rapid-acting (preferred) onset

Answer 8

Onset <15min

Question 9

Rapid-acting (preferred) peak

Answer 9

Peak 1-2 hrs

Question 10

Rapid-acting (preferred) duration

Answer 10

Duration: 3-5 hrs

Question 11

Rapid-acting (preferred) why

Answer 11

Less hypoglycemia compared to regular insulin

Question 12

Short-acting type

Answer 12

Regular Insuling

Question 13

Short-acting when

Answer 13

Taken 30-60 min before meals

Question 14

Short-acting onset

Answer 14

Onset: 30-60min

Question 15

Short-acting peak

Answer 15

Onset: 30-60min

Question 16

Short-acting duration

Answer 16

Duration 3-6 hrs

Question 17

Short-acting risk

Answer 17

more risk for hypoglycemia bc something might happen that will delay meal or change the meal your eating

Question 18

Intermediate-acting

Answer 18

NPH

Onset: 2-4 hrs

Peak: 4-10 hrs

Duration: 10-16 hrs

Question 19

Long-acting (basal insulin)

Answer 19

To cover hepatic glucose output

Glargine/Lantus, Determir/Levemir

Onset: 2-4 hrs

Peakless

Duration: 18-24 hrs

less nocturnal hypoglycemia compared to NPH

Question 20

Mixtures

Answer 20

Premixed to contain a blend of intermediate-acting and rapid-acting insulins

Must eat at specific times and be consistent with CHO intake

set strict schedule

Question 21

Flexible insulin regimens

Answer 21

Basal Bolus

allows for adjustments based on lifestyle (hospital/impatient)

Question 22

Inhaled Insulin

Answer 22

Afrezza

Rapid-acting

Onset: 15min

Duration: 2-3 hours

Still need injections of basal insulin

inhale before meals, not as effective

Question 23

Insulin Pumps

Answer 23

Delivers rapid acting only (dose lower amount for 24/7 for basal and increase for meals)

pump autimatically deliver with CGM

Bolus doses before meals

rest of the time its continuous