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Flashcards in Easy Insulin Deck (18):
1

Humalog

Rapid acting insulin

2

Novorapid

Rapid acting humalog

3

Apidra

Rapid acting insulin

4

Humulin S

Short-acting

5

Humulin I

Intermediate acting

6

Actrapid

Short acting

7

Insuman rapid

Short acting

8

Insuman basal

Intermediate acting

9

Lantus

Long acting

10

Levemir

Long acting

11

Basal insulin accounts for roughly how much of insulin produced?

50% of insulin

12

Evaluation of metabolic control

Home Blood Glucose Monitoring
Urine Testing (Glucose/ Ketones)
Glycated Hemoglobin (HbA1C)
(Continuous glucose monitor)

13

HbA1c criteria for diabetes diagnosis

Recently added as another criteria for the diagnosis of diabetes (HbA1c ≥6.5%)

14

Target HbA1c?

48 mmol/mol (58mmol/mol if at risk of hypos)

15

Blood glucose targets? Pre-prandial and post meal?

Pre-Prandial 4-7 mmol
Post meal <10

16

Dose Adjustment General Principles
15mmol/l?

15 mmol/l = increase by 4 units

17

When do you need IV glucose?

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

18

Measurements of IV insulin management

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