Insulin Flashcards

1
Q

primary structure of insulin

A

contains 2 peptide chains linked by disulphide bridges at A7 and A20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

secondary structure of insulin

A

alpha helix split into three segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

tertiary structure of insulin

A

disulphide bridges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

quaternary structure

A

forms dimers in solution, forms a hexamer with 2 zinc irons and 3 insulin dimers - globular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sources of insulin

A

bovine/porcine, semi-synthetic and biosynthetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does zinc/protamine affect release time

A

reduces the rate of absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

formulation, onset, peak and duration of soluble insulin

A

dimer form, onset of 30-60 minutes, peak of 2-4 hours and duration of 8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

insulin zinc suspension formulation, onset, peak and duration

A

insulin in solid particles, onset of 2-12 hours, peak of 2-24 hours and duration of 12-36 hours depending on whether its crystalline, amorphous or mixed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

isophane insulin formulation, onset, peak and duration

A

insulin complexed with protamine from salmon sperm, onset of 1-2 hours, peak action 4-12 hours, duration of 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

promatine zinc insulin formulation, onset, peak and duration

A

insulin complexed with zinc and protamine, onset is 4-6 hours, peak is 10-20 hours and duration 24-36 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is biphasic isophane insulin

A

soluble insulin and protamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is insulin aspart

A

novorapid - recombinant human insulin analogue from yeast, short acting with 10 - 20 min onset of action (reduced self aggregation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is insulin glulisine

A

apidra - recombinant human insulin analogue using recombinant bacteria with reduced self aggregation, 5 - 10 minutes onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is insulin lispro

A

humalog - recombinant human insulin analogue using recombinant bacteria. short acting 10 - 20 minutes onset of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is insulin glargine

A

lantus - recombinant human insulin analogue using recombinant bacteria. completely soluble at pH 4, slow acting, 1 hour onset of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is insulin detemir

A

levemir - recombinant human using recombinant yeast, strong molecular self association makes it slow acting 1 hour onset

17
Q

what is insulin degludec

A

novo norodisk - recombinant human insulin using recombinant yeast, strong molecular self - association between dihexamers, 30-90 mins onset

18
Q

fast acting examples

A

novorapid, humalog, apidra

19
Q

slow acting examples

A

actarapid, insuman rapid, humulin S

20
Q

intermediate acting examples

A

insulatard, levemire, lantus

21
Q

analogue mixtures examples

A

novomix 30, mix 25/50

22
Q

mixtures examples

A

humulin m3, insuman comb

23
Q

needle choice for slim builds

A

5mm - 25G

24
Q

needle choice for moderate builds

A

8mm - 27G

25
Q

needle choice for large builds

A

12.7mm - 30G

26
Q

reusable pen examples

A

autopen, clikstar, novopen

27
Q

disposable pen examples

A

flexpen, flextouch, innolet, kwikpen, solostar

28
Q

injection techniques

A
  1. clean - no alcohol wipes
  2. soft fat at 90 degrees
  3. push needle all way in and hold for 5-10 mins