Insulin Main Points

Question 1

What type of insulin is aspart (Novolog)?

Answer 1

rapid-acting

Question 2

What type of insulin is regular insulin?

Answer 2

short-acting

Question 3

What type of insulin is isophane?

Answer 3

intermediate-acting

Question 4

What type of insulin is humulin R?

Answer 4

short-acting or regular

Question 5

What type of insulin is glulisine?

Answer 5

rapid-acting

Question 6

What type of insulin is neutral protamine hagedorn (NPH)?

Answer 6

intermediate-acting insulin

Question 7

what type of insulin is novolin R?

Answer 7

short-acting or regular

Question 8

What type of insulin is lispro (Humalog)?

Answer 8

rapid-acting

Question 9

which rapid-acting insulins have onset in 5-15 mins? when do they peak?

Answer 9

1) aspart
2) glulisine
3) lispro

peak within 30-90 mins

Question 10

What type of insulin is inhaled insulin?

Answer 10

rapid-acting

Question 11

what is the onset of inhaled insulin? peak?

Answer 11

within one minute
peak within 12-15 mins

Question 12

what must be present with rapid-acting insulin?

Answer 12

food!!

Question 13

rapid-acting insulins are usually given in conjunction with what?

Answer 13

intermediate acting insulin

Question 14

what must always be monitored for with rapid-acting insulin?

Answer 14

hypoglycemia

Question 15

what is short-acting insulin used for?

Answer 15

to cover the glucose rise after eating a meal

Question 16

when is short-acting insulin given?

Answer 16

30 mins before meals. food must be present

Question 17

short acting insulin may be given how?

Answer 17

IV

Question 18

short-acting insulin is often given with what?

Answer 18

a long-acting insulin

Question 19

how do you draw up insulin from a mixed dose vial?

Answer 19

If Regular insulin (clear) is mixed with NPH human insulin (cloudy), the Regular insulin should be drawn into the syringe first.​

Question 20

what should you do if regular insulin vial is cloudy?

Answer 20

throw it out

Question 21

how often is intermediate-acting insulin given? how is this dosed?

Answer 21

Usually twice a day
The dose is typically split 2/3 in the morning and 1/3 in the evening​

Question 22

intermediate-acting insulin can be premade in what?

Answer 22

a 70/30 mixture of regular/NPH

Question 23

how is premade intermediate-acting insulin supplied?

Answer 23

as a pen which makes for very easy administration

Question 24

premade intermediate-acting insulin can be at room temp for how long?

Answer 24

10 days

Question 25

what is the onset of action of long-acting insulin? duration?

Answer 25

onset of action: up to 1.5 to 2 hours duration of action: 24 hrs (lasts for 24+ hrs depending on type)

Question 26

what is to note about the absorption of long-acting insulin?

Answer 26

even absorption, no peaks & valleys

Question 27

long-acting insulin can cause rare _______ _________

Answer 27

nocturnal hypoglycemia

Question 28

what type(s) of diabetes is long-acting used for?

Answer 28

Used in Type 1 and Type 2 DM. Frequently used in Type 2 DM​

Question 29

insulin is usually dosed at how many units/kg/day?

Answer 29

0.6 to 0.8

Question 30

how is the dose split when using a combo of short-acting & intermediate acting?

Answer 30

2/3 given in the morning​ 1/3 in the evening​

Question 31

what is done to determine insulin dose? how is this done?

Answer 31

counting carbs start with 1 unit of insulin per 15 g carbs

Question 32

how should unopened vials of insulin be stored?

Answer 32

refrigerated until needed

Question 33

after a vial of insulin has been opened how long can it stay at room temp?

Answer 33

1 month

Question 34

after a vial of insulin has been opened how long can it stay in the fridge?

Answer 34

3 months

Question 35

prefilled syringes of insulin must be used within what timeframe?

Answer 35

1-2 weeks