Exam 1 DM Flashcards Preview

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Flashcards in Exam 1 DM Deck (64)
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1

A1c goal for DM

Less than 6.5-7%

2

Fasting glucose goal for DM

80-130 mg/dL

3

Rapid acting insulin

Lispro (humalog), aspart (novolog), glulisine (Aventis)

4

Rapid acting insulin onset

15-30 min

5

Rapid acting insulin peak

1-2 h

6

Rapid acting insulin duration

3-4h

7

When is rapid acting insulin administered?

Immediately before a meal

8

Short acting insulin

Regular Humilin R

9

Short acting insulin onset

30 minutes

10

Short acting insulin is administered when?

30-45 minutes before meals

11

Intermediate acting insulin

NPH humulin N and novolin N

12

Intermediate acting insulin onset

2-4h

13

Intermediate acting insulin duration

8-12h

14

Intermediate acting insulin is not used for...

Emergency IV use

15

Appearance of intermediate acting insulin?

Cloudy

16

Long acting insulin

Glargine: lantus, basaglar, toujeo
Detemir: Levemir
Degludec: Tresiba

17

Can long acting insulin be mixed with other types of insulin?

No

18

Insulin glargine characteristics

Onset: 4-5, no peak, clear, duration: 24h

19

Insulin detemir characteristics

Onset: 2h, peak 3-9h, duration 14-24h, clear

20

Insulin - careful in which patients?

Hepatic and Renal failure - duration of action is prolonged

21

Combination insulin products - novolin 70/30

70% NPH, 30% regular insulin

22

Novolog 70/30 means?

70% aspart protamine suspension and 30% aspart

23

Humalog 50/50 and 75/25

50 or 75% protamine lispro and 50 or 25% lispro

24

Insulin dose based on?

Total body weight - DMII is 0.2 units/kg/day

25

1 unit of insulin will lower blood glucose by how much?

50 mg/dL

26

How often do you adjust an insulin dose?

Wait at least 24 hours

27

Who should insulin be held in and not held in?

Type 1 DM - never stop insulin

28

Which types of insulin can be given IV?

Rapid or short acting

29

Which locations are ideal for SubQ insulin?

Abdomen > buttocks > arm/leg

30

What accelerates absorption of insulin?

Exercise, rubbing, heat