DM - insulin

Question 1

Insulin lispro

Answer 1

human insulin; Humalog, short duration, rapid acting, starts in 15-30 min and lasts for 3-6 hours

Question 2

Insulin aspart

Answer 2

human, Novolog, short duration rapid acting. starts in 10-20 min, lasts for 3-5 hours

Question 3

Insulin glulisine

Answer 3

Analog, Apidra; short duration, rapid acting. starts in 10-15 min, lasts for 3-5 hours

Question 4

Regular insulin

Answer 4

Humalin R, Novolin R, short acting, short duration; given with meals or in insulin pump. starts in 30-60 min, ends in 10 hours

Question 5

NPH

Answer 5

Humanlin N, Novolin N, intermediate duration

• give 2-3 times a day
• only insulin that can be mixed with short acting
• not given with meals

Question 6

U-100

Answer 6

Long duration, Lantus

• durations 24 hours
• some patients require BID

Question 7

Insulin detemir

Answer 7

Long duration, Levemir

- duration: low does ~12 hours, high doses~20-24hrs

Question 8

Insulin glargine

Answer 8

ultralong duration, u-300, Toujeo

• duration is 24 hours
• given to patients where U-100 is not lasting long enough

Question 9

Insulin degludec

Answer 9

ultralong duration, Tresiba

- only human insulin with effects up to 42 hours