Insulin Need to Know Flashcards
How many mL in normal insulin vial?
10 mL
How many mL in normal insulin pen?
3 mL
What is the only insulin that is a suspension?
NPH
DO NOT SHAKE
turn or roll
When mixing NPH/regular in a syringe which should you draw up first?
1st Regular - clear
2nd NPH - cloudy
**do not mix U-500 Humulin R
Humulin R stability
Regular insulin
U-100 - 31 days
U-500 pen - 28 days
U-500 vial 40 days
Levemir stability
Detemir vial and pen 42 days
Toujeo stability
Glargine pen 56 days
Tresiba stability
Degludec pen 56 days
Basaglar and Lantus stability
Glargine 28 days
What insulin should be injected 30 minutes before a meal?
Insulin Regular (Novolin R or Humulin R)
What insulin should be injected 15 minutes before a meal?
Insulin aspart (Novolog)
Insulin lispro (Humalog)
What is Toujeo?
Toujeo is CONCENTRATED insulin glargine
300 units/mL
vials come in 1.5 mL or 3 mL
When should you initate insulin in a Type II diabetic?
A1c > 10%
BG >/= 300
What are the concentrated insulins?
Humalog KwikPen 200 units/mL
Humulin R KwikPen 500 units/mL
Tresiba Flextouch 200 units/mL
Toujeo SoloStar 300 units/mL
What are medications that cause hyperglycemia?
Beta blockers (or hypo)
Thiazides
Loop
Tacrolimus/Cyclosporine
Protease Inhibitors
Quinolone
Antipsychotics (Olanzapine, Quetiapine)
Statins
Steroids
Cough Syrups
Niacin
