Insulin

Question 1

Bolus

Answer 1

Used for mealtime and/or correction dosing.
Mimics insulin production in response to BS or food.
Can be REGULAR or RAPID acting.
Meds: regular, Novolog/Humalog/Apidra (rapid)
Onset: 30-60 min, 5-15 min
Peak: 2-4h, 1-2h
Duration: 6-8h, 3-5h
**Regular can be used IV
*REGULAR can be mixed with NPH

Question 2

Basal

Answer 2

Used for long term maintenance of blood sugars.
Can be LONG or INTERMEDIATE acting.
Usually once daily dosing, can be twice.
Meds: NPH, Lantus, Levimir
Onset: 1-3h, 1h, 1h
Peak: 6-8h, NONE, NONE
Duration: 10-20h, 24h, 24h
*NPH can be mixed with REGULAR insulin