Insulin Prescribing Flashcards
Rapid acting (given at start of meals)
Novorapid (Aspart)
Humalog (Lispro)
Apidra (Glulisine)
Short acting (given 30 mins before meals)
Actrarapid
Humulin S
Intermediate-acting (usually given once / twice daily or as a part of a mix)
Humulin I
Insulatard
Insuman basal
Long-acting (given once daily)
Levemir (Determir)
Lantus (Glargine)
Tresiba (Degludec)
Mixtures (for twice daily pre-mixed regimens)
Intermediate + short (given 30 mins before breakfast and dinner): Humulin M3 (30% short-acting) Insuman comb 15 or 25 or 50 (15/25/50 - short acting respectively)
Intermediate + rapid (given at start of breakfast and dinner): NovoMix 30 (30% rapid acting) Humalog Mix 25 or 50 (25/50% rapid acting)
Regimens
Basal bolus: basal long-acting insulin given at night with rapid acting insulin given before every meal
Twice daily pre-mixed regimen (mixed intermediate-acting and short / rapid acting insulin given twice daily, before breakfast and before dinner)
Intermediate insulin once/twice daily: may also be used in T2DM to supplement oral hypoglycaemics and aid glycaemic control in the day (OM), at night/ in morning (ON) or both (BD)