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Endocrinology > Principles of Insulin Management > Flashcards

Principles of Insulin Management Flashcards

1
Q

Humalog

A

Rapid acting

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2
Q

Humalog

A

Rapid acting

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3
Q

NovoRapid

A

Rapid acting

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4
Q

Apidra

A

Rapid acting

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5
Q

Actrapid

A

Short acting

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6
Q

Insuman rapid

A

Short acting

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7
Q

Insulatard

A

Intermediate acting

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8
Q

Once daily insulin regime, when do you take your injection?

A

At night

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9
Q

Twice daily insulin regime, when do you take your injections?

A

Before breakfast and before dinner

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10
Q

Basal bolus insulin regime, when do you take your injections?

A

Long acting before bed and rapid acting before each meal (breakfast/lunch/dinner)

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11
Q

Factors affecting insulin absorption/action

A

Temperature
Injection site
Injection depth
Exercise

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12
Q

Why should you alternate injection sites?

A

Lipohypertrophy

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13
Q

Where can you inject?

A

Thighs, tummy, bum, upper arms

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14
Q

How to check you blood glucose control?

A

Home blood glucose monitoring kit
Urine testing
Glycated haemoglobin
Continuous monitor

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15
Q

Which trial is type 1 diabetes evidence based on?

A

DCCT!

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16
Q

Pre-prandial blood glucose target

A

4-7 mmol

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17
Q

Post meal blood glucose target

A
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18
Q

How should you adjust insulin if BG

A

Decrease insulin by 4 units

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19
Q

How should you adjust insulin if BG is 4-7 mmol/l?

A

Don’t, this is optimal

20
Q

How should you adjust insulin if your BG is 8-14 mmol/l?

A

Increase insulin by 2 units

21
Q

How should you adjust insulin if BG is >15 mmol/l?

A

Increase insulin by 4 units

22
Q

When would you give IV insulin?

A

DKA
HHS
Acute illness
Fasting/patients who are unable to tolerate oral intake

23
Q

Target BG if you are on IV insulin (i.e. ill)

A

5-12 mmol/L

24
Q

Measurements you must do if on IV insulin

A 
Hourly blood glucose (BG) monitoring
Aim for BG 5 -12 mmol/L
Free of hypoglycaemia
Check ketones if BG > 12 mmol/L
Check U & E’s at least daily 
Safe transition from IV to SC insulin
25
Q

NovoRapid

A

Rapid acting

26
Q

Apidra

A

Rapid acting

27
Q

Actrapid

A

Short acting

28
Q

Insuman rapid

A

Short acting

29
Q

Insulatard

A

Intermediate acting

30
Q

Once daily insulin regime, when do you take your injection?

31
Q

Twice daily insulin regime, when do you take your injections?

A

Before breakfast and before dinner

32
Q

Basal bolus insulin regime, when do you take your injections?

A

Long acting before bed and rapid acting before each meal (breakfast/lunch/dinner)

33
Q

Factors affecting insulin absorption/action

A

Temperature
Injection site
Injection depth
Exercise

34
Q

Why should you alternate injection sites?

A

Lipohypertrophy

35
Q

Where can you inject?

A

Thighs, tummy, bum, upper arms

36
Q

How to check you blood glucose control?

A

Home blood glucose monitoring kit
Urine testing
Glycated haemoglobin
Continuous monitor

37
Q

Which trial is type 1 diabetes evidence based on?

38
Q

Pre-prandial blood glucose target

39
Q

Post meal blood glucose target

40
Q

How should you adjust insulin if BG

A

Decrease insulin by 4 units

41
Q

How should you adjust insulin if BG is 4-7 mmol/l?

A

Don’t, this is optimal

42
Q

How should you adjust insulin if your BG is 8-14 mmol/l?

A

Increase insulin by 2 units

43
Q

How should you adjust insulin if BG is >15 mmol/l?

A

Increase insulin by 4 units

44
Q

When would you give IV insulin?

A

DKA
HHS
Acute illness
Fasting/patients who are unable to tolerate oral intake

45
Q

Target BG if you are on IV insulin (i.e. ill)

A

5-12 mmol/L

46
Q

Measurements you must do if on IV insulin

A 
Hourly blood glucose (BG) monitoring
Aim for BG 5 -12 mmol/L
Free of hypoglycaemia
Check ketones if BG > 12 mmol/L
Check U & E’s at least daily 
Safe transition from IV to SC insulin

Endocrinology (30 decks)

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