exam 1 T1DM pp

Question 1

T1DM TDD insulin

Answer 1

0.5 units/kg/day

Question 2

T2DM basal insulin

Answer 2

start wit 10units OR
0.1-0.2 units/kg/day

Question 3

starting insulin in T2DM

Answer 3

A1C>10 and on GLP1 at max dose
start with basal and titrate 2 units every 3 days till goal

Question 4

if still above goal in T2DM

Answer 4

add prandial 4 units OR
10% of basal dose once daily before largest meal

Question 5

what color is rapid, short and long acting insulins (solutions)

Answer 5

clear

Question 6

what color are NPH insulins and fixed combos (suspensions)

Answer 6

white and cloudy

Question 7

rapid insulin lasts

Answer 7

4-6hr

Question 8

regular insulin lasts

Answer 8

6-8hr

Question 9

NPH insulin lasts

Answer 9

12-20hr

Question 10

long acting insulin lasts

Answer 10

18-24hr

Question 11

insulin OTC

Answer 11

regular
NPH
premixed 70NPH/30regular

Question 12

which insulin is RX and OTC

Answer 12

regular insulins

Question 13

ICR means what

Answer 13

number of carbs covered by 1uint of insulin

Question 14

ICR rules

Answer 14

rapid- 500
short (regular)- 450

Question 15

ISF (correction factor) rules

Answer 15

rapid- 1800
short (regular)- 1500

Question 16

correction dose formula

Answer 16

BG now – BG goal / correction factor

Question 17

when mixing insulins

Answer 17

clear first (rapid or short)
cloudy second (intermediate)

Question 18

when adding insulin what meds can you continue

Answer 18

metformin
SGLT2
DPP4
GLP1 stopped with prandial

Question 19

when adding insulin what meds should be stopped

Answer 19

TZDs or reduce dose
SU
meglitinides

Question 20

if become hypoglycemic on basal titration

Answer 20

decrease by 10-20%

Question 21

add prandial to basal if

Answer 21

A1C still above goal after titration
basal dose >0.5 unit/kg
FPG at target but A1C not

Question 22

dose increase and interval for prandial

Answer 22

1-2 units or 10-15% twice weekly

Question 23

if A1C <8 and adding prandial what do you need to do to the basal dose

Answer 23

decrease by 10% OR
4 units

Question 24

insulin should not be used with

Answer 24

SU
meglitinide

Question 25

DDA for Hep C can cause what with insulin

Answer 25

hypoglycemia need to decrease insulin dose

Question 26

basal insulin onset

Answer 26

3-4hr

Question 27

rapid insulin onset

Answer 27

15min peak in 1-2hr

Question 28

intermediate insulin onset

Answer 28

1-2hr peak 4-12hr

Question 29

regular insulin onset

Answer 29

30min peak 2hr

Question 30

using NPH alone should be given when and why

Answer 30

bedtime avoids nocturnal hypoglycemia

Question 31

NPH given in the eying should be injected where and why

Answer 31

button or thigh slower absorption

Question 32

regular insulin should be given where and why

Answer 32

abdomen increased speed of absorption