Insulins

Question 1

Name 2 long-acting insulin analogs.

Answer 1

1. Glargine
2. Detemir

Question 2

What is the onset for the long-acting insulin analogs?

Answer 2

1-1.5 hrs

Question 3

What is the peak of the short-acting human insulins?

Answer 3

2 hrs

Question 4

What is the function of basal insulin (glargine, detemir, NPH)?

Answer 4

to suppress hepatic glucose output and lower glucose levels even when the pt is fasting

Question 5

Insulin type?

• Humalog
• novolog
• glulisine

Answer 5

rapid-acting insulin analogs

Question 6

What is the duration of the rapid-acting insulin analogs?

Answer 6

3-5 hours

Question 7

The standard of care for glycemic management in DMI is _________.

Answer 7

basal bolus therapy (intensive, multiple dose insulin)

Question 8

How are the long-acting insulin analogs administered?

Answer 8

sub-q only

Question 9

What are some negatives to using pre-mixed insulins?

Answer 9

you have to keep a very set schedule

Question 10

What is the peak of the rapid-acting insulin analogs?

Answer 10

1-1.5 hours

Question 11

Name 3 intermediate-acting insulin analogs.

Answer 11

1. NPH
2. Humulin
3. Novolin

Question 12

What is the onset for the intermediate-acting insulin analogs?

Answer 12

1-3 hours

Question 13

What is the duration for the intermediate-acting insulin analogs?

Answer 13

12-16 hrs

Question 14

What is the peak for the intermediate-acting insulin analogs?

Answer 14

6-8 hours

Question 15

What is the onset of the short-acting human insulins?

Answer 15

30-60 mins

Question 16

When is insulin therapy used?

Answer 16

• DMI
• hospitalizations
• pregnancy

Question 17

What is the duration of the short-acting human insulins?

Answer 17

6-8 hrs

Question 18

What are some positives to using pre-mixed insulins?

Answer 18

• minimal injections (only 2/day)
• good for set schedules

Question 19

These insulins are used to “correct” a high blood glucose level.

Answer 19

correctional insulin (Humalog, Novolog, inhaled)

Question 20

What is the peak for the long-acting insulin analogs?

Answer 20

none

Question 21

Insulin type?

• NPH
• Humulin
• Novolin

Answer 21

intermediate-acting insulin analogs

Question 22

What is the function of prandial insulin (rapid-acting or regular insulin)?

Answer 22

to metabolize nutrients in a meal or snack and cover the postprandial rise in glucose

Question 23

Insulin type?

• Humulin R
• Novolin R

Answer 23

short-acting human insulins

Question 24

How are the short-acting human insulins administerd?

Answer 24

• sub-Q or IV
• 30 mins before eating

Question 25

How are the intermediate-acting insulin analogs administered?

Answer 25

• sub-q only
• 2x/day

Question 26

These insulins are used to metabolize nutrients in a meal or snack and cover the postprandial rise in glucose.

Answer 26

prandial insulin (rapid-acting or regular insulin)

Question 27

What is the onset of the rapid-acting insulin analogs?

Answer 27

5-15 mins

Question 28

Name 2 short-acting human insulins.

Answer 28

1. Humulin R
2. Novolin R

Question 29

How are the rapid-acting insulin analogs administered?

Answer 29

sub-q or pump before a meal inhaled form

Question 30

These insulins are used to suppress hepatic glucose output and lower glucose levels even when the pt is fasting.

Answer 30

basal insulins (glargine, detemir, NPH)

Question 31

What is the function of correctional insulin (Humalog, Novolog, inhaled)?

Answer 31

to “correct” a high blood glucose level

Question 32

What is the duration for the long-acting insulin analogs?

Answer 32

12-20 (detemir) or 24 hrs (glargine)

Question 33

What is unique about the intermediate-acting insulin analogs?

Answer 33

they’re cloudy

Question 34

Insulin type?

• Glargine
• Detemir

Answer 34

long-acting insulin analogs

Question 35

Name 3 rapid-acting insulin analogs.

Answer 35

1. Humalog
2. novolog
3. glulisine