Insulin

Question 1

Classification of insulin

Answer 1

rapid actng: lespro and aspartate
Short: regular
Intermediate acting: NPH and lente
Long acting: glargins and ultralente

Question 2

Whats is downs phenomenon

Answer 2

Hyperglycemia occur at 3am due to gh influx so we inc dose of insulin at night

Question 3

what is somogyu

Answer 3

3am hypoglycemia so we dec dose of insuin at evening

Question 4

Regim 1 of insulin

Answer 4

Short acting + intermediate acing
70NPH/30regular ratio
2/3 at breakfast
1/3 evening

Question 5

Regimen 2

Answer 5

LOng acting once a day
Regular beore meal 30 to 45 mins

Question 6

Insulin sliding scale

Answer 6

Regula insulin 2/3 to 1/3 ratio
Units decided according to scale
2 units- 200 level
4- 250 glucose level
6- 300 glucose level
8- 350 glucose level
10- 400 glucose level