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
