Insulin

Question 1

what regime is first line therapy for type 1 in adults and children

Answer 1

basal bolus regime

Question 2

basal bolus regime

Answer 2

long acting insulin od /bd

rapid acting ads with meals based on carb intake

Question 3

onset of short acting insulin

Answer 3

30 mins - 1 h

Question 4

example of short acting

Answer 4

Human Actrapid

Question 5

onset rapid acting insulin

Answer 5

5-15 mins

Question 6

example of rapid acting analogue

Answer 6

Novorapid (insulin aspart)

Question 7

onset of immediate acting insulin

Answer 7

2-4h

Question 8

example of immediate acting insulin

Answer 8

Human Insulatard, Humulin I

Question 9

onset of long acting insulin

Answer 9

2-4h (flat insulin profile)

Question 10

benefit of long acting insulin analogues

Answer 10

less nocturnal hypoglycaemia

Question 11

example of long acting insulin

Answer 11

Lantus

Question 12

duration of action of ultra long acting insulin

Answer 12

up to 42h

Question 13

eg of ultra long acting insulin

Answer 13

Tresiba

Question 14

benefits of ultra long acting

Answer 14

nocturnal hypoglycaemia, patients who forget to take insulin

Question 15

what does biphasic insulin contain

Answer 15

short or rapid acting in a protamine suspension

Question 16

onset and duration of biphasic insulin

Answer 16

onset 1-2h duration; up to 12h

Question 17

example of biphasic insulin

Answer 17

Humulin M3

Question 18

biphasic insulin regime

Answer 18

BD: breakfast and evening
used in type 1 whew no. of injections is problematic
type 2

Question 19

when is a sc continuous insulin infusion considered

Answer 19

disabling hypoglycaemia