Insulin

Question 1

Insulin indications

Answer 1

T1DM (always) and T2DM

diabetic ketoacidosis

hyperglycaemia

hyperosmilar syndrome

perioperative glycaemic control in patients with DM

Treat hyperkalaemia with glucose

Question 2

Insulin MOD

Answer 2

Insulin drive K cells into cells (for hyperkalemia)

Question 3

Insulin for hyperkalemia treatment

Answer 3

Insulin drive K cells into cells (for hyperkalemia)

but as soon as insulin is stopped K leak out of cell

so this is a temporary measure while other Rx of hyperkalemia are being done

Question 4

Insulin classes

Answer 4

Rapid acting: rapid eg (Novorapid)

short acting: soluble insuling (Actrapid)

Intermediate acting: Humlin I

Long acting: eg Lantus

Biphasic Insulin: mixture of rapid and intermediate (eg Novomix)