Prescribing Issues In Diabetes

Question 1

What delivery types of SC insulin are there?

Answer 1

Vials
Cartridges
Disposable pens
Innolet device

Question 2

When is variable rate insulin infusion used?

Answer 2

Diabetics NBM or have hyperglycaemia
When tight glucose
Control needed
Diabetic patrons with DKA or hyperosmolar hyperglycaemic state

Question 3

Where can errors occur during VRII?

Answer 3

IV co-infusion
Monitoring every 1-2 hours
Stopping IV insulin 30-60 mins after restarting reg SC insulin or anti diabetics
Long acting SC should be continued while on VRII

Question 4

What are the side effects of metformin?

Answer 4

GI disturbances avoided by stepping up slowly consider MR

Lactic acidosis

Question 5

When should sulphonylurea be used as first line?

Answer 5

When patient not overweight
Metformin contra-indicated
I’d rapid therapeutic response needed

Question 6

What annual assessments need to be done with diabetic patients?

Answer 6

Blood tests: HbA1c glucose, BP,lipids
Eye examination
Kidney function
Footcare

Question 7

What types of insulin regimens are there?

Answer 7

Rapid acting
Short acting 
Intermediate 
Long 
Biphasic