Insulin Flashcards
Exogenous insulin MOA
Replaces absent insulin secretion in T1DM
Supplements insufficient insulin secretion in T2DM
Insulin expected change in A1c
High
Basal insulin dosing frequency
1-2x daily
Prandial insulin dosing frequency
Prior to meals
Insulin route of administration
Subcutaneous
Insulin ADEs
Hypoglycemia, weight gain, injection site rxns, lipdystrophy
Insulin risk of hypoglycemia
High
Insulin impact on weight
Highest risk of gain
Insulin CV impact
Neutral or unknown
Insulin renal impact
Unknown
Insulin precautions/CIs
Adjust for renal insufficiency
Delay admin of prandial insulin in px w/ delayed gastric emptying
Insulin drug interactions
Do not mix in same syringe as noninsulin injectables
Do not mix short-acting with long-acting
Insulin requires __________ monitoring
weight
Hold prandial insulin dose if _________________
Skipping a meal
Use _________ rather than vial and syringe
Pens
