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Mod 3 > Types of Insulin > Flashcards

Types of Insulin Flashcards

1
Q

Rapid acting

A

Lispro
Aspart
Glulisine

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2
Q

Onset of rapid acting

A

10-15 mins

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3
Q

Peak of rapid acting

A

1-2 hours

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4
Q

Duration of rapid acting

A

3-5 hours

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5
Q

Short acting- Regular

A

Humulin or Novolin

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6
Q

Onset of Short acting

A

30-60 min

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7
Q

Peak of short acting

A

2-4 hr

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8
Q

Duration of short acting

A

4-8 hours

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9
Q

Intermediate acting insulin

A

NPH- neural protamin Hagedorn

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10
Q

Onset of NPH

A

1-3 hours

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11
Q

Peak of NPH

A

4-10 hours

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12
Q

Duration of NPH

A

10-18 hours

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13
Q

Long acting insulin

A

lantus, Touheo, Levemir, Tresiba
All have different onset, with no peak
All last longer than 24 hours with Tresiba being longer than 42 hours

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14
Q

Basal regimen- T2DM

A

Once daily of levemir/Lantus
start at 10u and tirate every 2-3 days based on FBG goal
Cont oral meds but make sure to reduce dose of SU by 50%

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15
Q

What if BG before lunch and dinner with basal regimen

A

Not sufficient enough, progress to twice daily mixed insulin or basal bolus regime

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16
Q

Split Mixed Insulin Regimen

A

2-3 injections a day with a combo of long or intermediate acting insulin AND short/rapid acting insulin

17
Q

Using premixed insulin

A

AM dose- 2/3 of dose
Before dinner dose- 1/3 of daily dose
Carb intake must on consistent

18
Q

Patient mixing own insulin

A

Am dose: 2/3 NPH and 1/3 rapid/regular
Dinner dose: 1/2 NPH and 1/2 regular/rapid

19
Q

Titration split mixed insulin- Elevation pre Breakfast

A

increase evening dose of NPH

20
Q

Titration split mixed insulin- Elevated pre lunch

A

increase AM dose of regular/rapid dose

21
Q

Titration split mixed insulin- pre dinner glucose

A

increase AM dose of NPH

22
Q

Titration split mixed insulin- Bedtime glucose

A

increase evening dose of regular/rapid

23
Q

Split Mixed insulin with oral meds

A

cont metformin or TZD but stop SU

24
Q

Basal Bolus Insulin regime

A

combines basal insulin wiht pre-meal insulin

Mod 3 (5 decks)

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