Insulin

Question 1

What contraindications should be excluded before prescribing insulin?

Answer 1

None

Question 2

How would you explain the MOA of insulin to a patient?

Answer 2

• Insulin allows the cells of your body to take up glucose from the blood and use it for energy
• This means insulin reduces the blood glucose level
• In people with diabetes, insulin may be needed because the body cannot produce it or use it effectively

Question 3

How should insulin be taken?

Answer 3

• Depends on the regimen (many different types)
• Injected using injection pen at 90 degree angle
• Usually injected into different sites around the lower abdomen and upper outer thighs/buttocks

Question 4

What monitoring is required for insulin treatment?

Answer 4

• Capillary glucose monitoring is done before each meal and before bed
• Should also be checked if there are any symptoms of a high/low blood sugar

Question 5

What side effects of insulin treatment should patients be made aware of?

Answer 5

• Weight gain
• Sharps injuries (pens should be disposed of in a sharps bin)
• Hypoglycaemia (educate patient about management)
• Lipodystrophy at injection sites