Insulin Regimens Flashcards
What are the 3 types of insulin regimens
- multiple daily injections
(basal and bolus) - Biphasic mixtures (novomix)
- Continued subcutaneous Insulin infusion pump
What is Basal Insulin
Long acting (1 to 2 times daily)
What is Bolus insulin
Short or Rapid acting (before meals)
Examples of Basal Insulin
- Detemir BD
(levimir) - Glargine OD
(abasaklar, lantus toujeo)
Examples of Bolus Insulin
Novorapid
What factors increase insulin requirements
- infection
- stress
- trauma
What factors decrease insulin requirements
- physical activity
- reduced food intake
- impaired renal function
- endocrine disorders
Why should you inject insulin S/C
because insulin is inactivated bu GI enzymes
What is the fast absorbing area for insulin
Abdomen
What are slower absorbing areas for insulin
- Outer thigh
- Buttocks
What are the 2 types of Short acting Insulin
- Soluble
- Rapid
When would you inject soluble insulin before a meal
15 to 30 mins before
When would you inject rapid insulin before a meal
immediately
What is the onset of acton of soluble insulin
30 to 60 minute onset
What is the onset of acton of rapid insulin
<15 minutes
What is the duration of action of soluble insulin
up to 9 hours
What is the duration of action of rapid insulin
2.5 hours
Examples of Soluble insulin
- Humulin S
- Insumane Rapid
How is Intermittent acting insulin usually taken
Mixed with rapid isulin
e.g NovoMix
(Biphasic)
What is the onset of action of Intermittent acting insulin
1 to 2 hours
When is the peak effect of Intermittent acting insulin
3 to 12 hours
What is duration of action of Intermittent acting insulin
11 to 24 hours
