Insulin Treatment Flashcards
What is the function of analogue insulin?
It has been manipulated to alter rates of absorption and persistence in the circulation
Give an example of a human short acting insulin?
Actrapid
Give an example of a human long acting insulin?
Insulatard
Give 2 examples of an analogue rapid acting insulin?
Humalog or Novorapid
Give 2 examples of an analogue long acting insulin?
Lantus or Levemir
What can short acing insulins be used for?
Pre-meal injections, during labour or medical emergencies
How soon will short acting insulin analogues begin to work? How long will they last?
10-15 mins // 4-5 hours
How soon will short acting human insulin begin to work? How long will they last?
30-60 mins // 5-8 hours
Which type of insulin is more likely to cause hypoglycaemia?
Human
When will human long acting basal insulins peak?
4-6 hours after administration
Most patients should be on what insulin therapy?
Long acting basal analogue insulin e.g. lantus/levemir
Patients will be taught to match their prandial insulin dose to what?
Carbohydrate intake, pre-meal glucose, anticipated activity
What should the pre-meal target of glucose be?
3.9-7.2mmol/l
What is the target of glucose after the beginning of a meal?
< 10mmol/l
What is the function of a basal bolus regimen?
Mimics normal endogenous insulin production
What insulins are used in a basal bolus?
A long acting (basal) insulin and a rapid acting (bolus) insulin
When is the rapid acting insulin given in a basal bolus regimen?
With each meal
When is the long acting insulin given in a basal bolus regimen?
Before bed
What is the most flexible insulin regimen?
Basal bolus
What injections will you take in a bi-daily regimen?
2 injections of a mix of short and intermediate acting insulin
Who is a bi-daily insulin regimen suitable for?
People with a consistent routine
Who is a once daily insulin dose used in?
Type 2 diabetics on medication also
What type of insulin is used in a once daily regimen?
Long acting peak less insulin
When should once daily insulin be taken?
Before breakfast
