insulin regimes Flashcards

1
Q

what is the onset of action of rapid acting insulin analogues

A

10-15 mins

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2
Q

what is the peak action of rapid acting insulin analogues

A

60 - 90 mins

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3
Q

what is the duration of action of rapid acting insulin analogues

A

4-5 hours

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4
Q

what is the onset of action of short acting soluble insulin

A

30 - 60 mins

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5
Q

what is the peak action of short acting soluble insulin

A

2-4 hours

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6
Q

what is the duration of action of short acting soluble insulin

A

5-8 hours

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7
Q

what is the peak action of intermediate acting insulin

A

4-6 hours

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8
Q

what is the duration of action of intermediate acting insulin

A

12 hours

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9
Q

what is the peak action of long acting insulin

A

no peak - peakless curve (less of a peak)

long acting

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10
Q

when are long acting insulin agents given

A

once or twice daily / single bed time dose

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11
Q

what are the 2 forms of prandial insulin

A

rapid acting and short acting

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12
Q

what are the 2 forms of basal insulin

A

intermediate acting and long acting

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13
Q

what is another name for rapid acting insulin

A

ultra-fast / ultra-short acting

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14
Q

what is another name for long acting insulin

A

ultra-long acting

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15
Q

what kind of insulin is humalog (insulin lispro)

A

rapid acting

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16
Q

what kind of insulin is Lantus (glargine)

A

long acting

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17
Q

what kind of insulin is levemir (deternir)

A

long acting

18
Q

what kind of insulin is humulin S (human insulin)

A

short acting

19
Q

what kind of insulin is NovoRapid (insulin aspart)

A

rapid acting

20
Q

what kind of insulin is Insulatard

A

intermediate acting

21
Q

what kind of insulin is insuman basal

A

intermediate acting

22
Q

what kind of insulin is ultra lente

A

long acting (not ultra-long)

23
Q

what kind of insulin is Apidra (glulisine)

A

rapid acting

24
Q

what kind of insulin is Humulin I (isophane human)

A

intermediate acting

25
Q

what kind of insulin is NPH

A

intermediate acting

26
Q

what kind of insulin is Actrapid

A

short acting

27
Q

what kind of insulin is insuman rapid

A

short acting

28
Q

what kind of insulin is lente

A

intermediate acting

29
Q

is basal bolus or biphasic meant to mimic physiological insulin more

A

basal

30
Q

what is seen best for patients with a regular diet and lifestyle

A

biphasic

31
Q

Humalog Mix25/Mix50 is an example of what

A

rapid acting - intermediate mix

32
Q

NovoMix 30 is an example of what

A

rapid acting - intermediate mix

33
Q

Humulin M3 is an example of what

A

short acting - intermediate mix

34
Q

insuman comb 15/25/50 is an example of what

A

short acting - intermediate mix

35
Q

what is 1 unit of insulin roughly equal to in carbs

A

1 unit = 10g carbs

36
Q

what kind of insulin does an insulin pump administer

A

short acting SC

37
Q

when does an insulin pump deliver insulin

A

background basal rate

bolus to cover meals (CHO counting, manual activation)

38
Q

what is the HbA1c target for diabetics

A

48mmol

39
Q

where is insulin usually released in the body

A

straight into portal blood stream

40
Q

does insulin injection/pump prevent post meal hyperglycaemic spike

A

no - too slow to prevent spike

41
Q

does insulin injection/pump have a slower or faster clearance than normal insulin

A

slower clearance