Therapeutic Use Of Insulin

Question 1

Differences in synthetic insulin

Answer 1

Injectable

Loss of portal peripheral gradient

Loss C peptide

Cause weight gain

Not controlled endogenously

Narrow therapeutic index

Question 2

Two types of insulin

Answer 2

Rapid acting

Long acting insulin

Question 3

Molecular size of insulin correlates with

Answer 3

Absorption from subcutaneous injection sites

Question 4

Modify insulin toro what?

Answer 4

Make it faster acting or longer lasting

Question 5

Standard conc of insulin

Answer 5

100 units per ml (called U100)

Question 6

Basal boils insulin regimen

Answer 6

Basal: long acting insulin twice or once daily

+

Prandial: rapid acting analogues before meals

Question 7

Measure insulin when

Answer 7

Before meals and before bed

Question 8

Insulin dose adjustment golden rules

Answer 8

Look for hypos first

Look for a pattern

Question 9

DAFNE IS

Answer 9

Teach type 1 people about how to manage their insulin

5 day programme

Emphasis on building confidence and appropriate independence

Taught how to adjust insulin to life style

Question 10

Insulin pump therapy is

Answer 10

Continuous subcutaneous insulin infusion all day

Question 11

How are type 2 people given insulin?

Answer 11

Basal ( long acting) given pre bed

Measured pre breakfast

Question 12

If you cahange conc of premixed insulin you must

Answer 12

Also change conc of the other insulin in the premix

Question 13

Type 1 therapy

Answer 13

Basal boils

Insulin pump

Question 14

Type 2 therapy

Answer 14

Bedtime insulin
Twice daily mixed

Basal bolus

Question 15

Side effects of insulin

Answer 15

Hypoglycaemia
Weight gain

Very rarely allergies