Insulin Flashcards
Name the intermediate basal insulin
NPH
Name the 3 long acting basal insulins
- Glargine
- Detemir
- Delgludec
What is the insulin starting regimen for Type 1 DM
basal-bolus
What is the starting regimen for most Type II DM
Metformin (+/- GLP-1) and basal insulin
Which insulins come from an animal source (pork)?
Short acting: Humulin R, Novolin R
NPH: Humulin N, Novolin N
Rapid Acting Insulins: onset
15-30minutes
Short acting insulins: onset
30min-1 hour
Intermediate active insulins: onset:
2-4 hours
Long Acting insulins: onset
1, 2, 4-5 hours
How much will 1 unit of insulin cover?
15g of carbohydrates
Storing insulin opened versus unopened bottles
opened: keep at room temperature
unopened: refrigerate
How much will one unit of insulin lower blood sugar in Type II DM?
30 mg/dL
How much will one unit of insulin lower blood sugar in Type I DM?
50 mg/dL
When choosing to add Prandial insulin, when and how much should you add?
begin prandial insulin before largest meal
10% of basal dose, or 5 units
If post prandial glucose is consistently >140mg/dL how much should you increase prandial insulin dose?
1-2 units