insulin regimes Flashcards
what is the onset of action of rapid acting insulin analogues
10-15 mins
what is the peak action of rapid acting insulin analogues
60 - 90 mins
what is the duration of action of rapid acting insulin analogues
4-5 hours
what is the onset of action of short acting soluble insulin
30 - 60 mins
what is the peak action of short acting soluble insulin
2-4 hours
what is the duration of action of short acting soluble insulin
5-8 hours
what is the peak action of intermediate acting insulin
4-6 hours
what is the duration of action of intermediate acting insulin
12 hours
what is the peak action of long acting insulin
no peak - peakless curve (less of a peak)
long acting
when are long acting insulin agents given
once or twice daily / single bed time dose
what are the 2 forms of prandial insulin
rapid acting and short acting
what are the 2 forms of basal insulin
intermediate acting and long acting
what is another name for rapid acting insulin
ultra-fast / ultra-short acting
what is another name for long acting insulin
ultra-long acting
what kind of insulin is humalog (insulin lispro)
rapid acting
what kind of insulin is Lantus (glargine)
long acting
what kind of insulin is levemir (deternir)
long acting
what kind of insulin is humulin S (human insulin)
short acting
what kind of insulin is NovoRapid (insulin aspart)
rapid acting
what kind of insulin is Insulatard
intermediate acting
what kind of insulin is insuman basal
intermediate acting
what kind of insulin is ultra lente
long acting (not ultra-long)
what kind of insulin is Apidra (glulisine)
rapid acting
what kind of insulin is Humulin I (isophane human)
intermediate acting
what kind of insulin is NPH
intermediate acting
what kind of insulin is Actrapid
short acting
what kind of insulin is insuman rapid
short acting
what kind of insulin is lente
intermediate acting
is basal bolus or biphasic meant to mimic physiological insulin more
basal
what is seen best for patients with a regular diet and lifestyle
biphasic
Humalog Mix25/Mix50 is an example of what
rapid acting - intermediate mix
NovoMix 30 is an example of what
rapid acting - intermediate mix
Humulin M3 is an example of what
short acting - intermediate mix
insuman comb 15/25/50 is an example of what
short acting - intermediate mix
what is 1 unit of insulin roughly equal to in carbs
1 unit = 10g carbs
what kind of insulin does an insulin pump administer
short acting SC
when does an insulin pump deliver insulin
background basal rate
bolus to cover meals (CHO counting, manual activation)
what is the HbA1c target for diabetics
48mmol
where is insulin usually released in the body
straight into portal blood stream
does insulin injection/pump prevent post meal hyperglycaemic spike
no - too slow to prevent spike
does insulin injection/pump have a slower or faster clearance than normal insulin
slower clearance