Insulin therapy for DM

Question 1

Name some Rapid acting insulins

Answer 1

Novorapid

Humalog

Question 2

Name some Long acting insulins

Answer 2

Glargine (Lantus)
Levemir
Tresiba

Question 3

Name some Short acting insulins

Answer 3

Actrapid

Question 4

Name some Intermediate acting insulins

Answer 4

Humulin I

Hypurin isophane

Question 5

What BM allows you to titrate your long acting insulin dose?

Answer 5

Fasting glucose before meal as shows resting blood glucose levels

Question 6

What BM allows you to titrate your short acting insulin dose?

Answer 6

Post meal as shows how food impacts on blood glucose levels

Question 7

What are the common regimes for insulin treatment?

Answer 7

BD biphasic regime (BD insulin mixture before breakfast/dinner)
Basal bolus regime (Bedtime long acting + short acting before meals) * Best outcome *
OD long acting before bed (Initial regime when switching from tablets to insulin in T2DM)

Question 8

How does illness effect insulin?

Answer 8

Insulin requirements increase
Maintain calories
Check BM every 4 hrs and check for ketonuria
Increase insulin if glucose increasing

Question 9

What are the side effects of insulin?

Answer 9

Wt gain (wt loss if given with Metformin)
Lipohypertrophy if don't rotate injection site
Hypoglycaemia esp if alcohol excess, B blockers mask symptoms