Insulins

Question 1

What are the short acting insulins?

Answer 1

Humalog and other regular insulins (Novalog, Humulin R)

Question 2

What are the medium acting insulins?

Answer 2

NPH insulin

Question 3

What are the longer acting insulins?

Answer 3

Lente and Ultralente (there was a note in the slides about rolling these softly in the hand?)

Question 4

What is 70/30?

Answer 4

70/30 = 70% NPH, 30% rg (Medium acting and short acting mixed together)

Question 5

Can you mix anything with Lantus?

Answer 5

No.

Question 6

What is the Dawn phenomenon?

Answer 6

release of growth hormone at night that raises BS (5-6AM) give more insulin at night or give it later around 10 PM

Question 7

What is the Somogyi phyenomenon?

Answer 7

Morning hyperglycemia from the body’s response to nighttime hypoglycemia, make sure the pt has food at bedtime (Iggy pg 1433)

Question 8

What is the onset, peak and duration of Humalog?

Answer 8

Onset = Less than 15 min
Peak =  30-90 min
Duration =  4 hours

Question 9

What is the onset, peak and duration of other Regular Insulins?

Answer 9

Onset = 30-60 min
Peak = 2-4 hours
Duration = 5-7 hours

Question 10

What is the onset, peak and duration of NPH insulin?

Answer 10

Onset = 3-4 hours
Peak = 6-12 hours
Duration = 18-28

Question 11

What is the onset, peak and duration of 70/30?

Answer 11

Onset = 15-30 min
Peak = 2-3 and 8-12
Duration = 18-24 hours

Question 12

What is the onset, peak and duration of Glargine (Lantus)?

Answer 12

Onset = 1 hr
Peak = 5 hrs
Duration = 24 hours