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Flashcards in Endo (Insulin) Deck (7):
1

Cleavage of proinsulin and cross-linking result in formation of insulin and residual __________.

C-peptide

2

Rapid-acting insulin: (3)
Short-acting: (1)
Intermediate-acting: (2)
Long-acting: (4)

All insulin preparations contain ________ (mineral).

Rapid-acting insulin: Lispro, Aspart, Glulisine (LAG)
Short-acting: Regular
Intermediate-acting: NPH, Lente
Long-acting: Ultralente, Lantus (Lanta na, sobrang tagal!), Glargine (Go Large), Detemir

All insulin preparations contain zinc.

3

3AM - hypoglycemia
7AM - hyperglycemia
A. Somogyi effect
B. Waning of insulin dose
C. Dawn phenomenon
D. Both Somogyi effect and waning of insulin dose

Somogyi

4

3AM - hyperglycemia
7AM - hyperglycemia
A. Somogyi effect
B. Waning of insulin dose
C. Dawn phenomenon
D. Both Somogyi effect and waning of insulin dose

Waning

5

3AM - normal
7AM - mild hyperglycemia
A. Somogyi effect
B. Waning of insulin dose
C. Dawn phenomenon
D. Both Somogyi effect and waning of insulin dose

Dawn

6

3AM - hyperglycemia
7AM - hyperglycemia which is much higher
A. Somogyi effect
B. Waning of insulin dose
C. Dawn phenomenon
D. Both dawn phenomenon and waning of insulin dose

Both DP and WID

7

STRATEGIES FOR INSULIN THERAPY
_______________
- most physiologic strategy because it copies the body's normal production of insulin as closely as possible
_______________
- mount of short-acting insulin varied depending on preprandial CBG

Basal bolus
Sliding insulin scale

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