Insulin Regimes Flashcards
(28 cards)
What is the first line treatment for type 1 diabetes?
The basal bolus regime
This regime involves multiple injections at every mealtime.
What types of insulin are mixed in the basal bolus regime?
Long acting, intermediate, and short acting
This combination is designed to mimic natural insulin secretion.
How often can basal insulin be administered?
Once a day or twice a day
It is commonly given at bedtime.
When is bolus insulin taken?
At mealtimes
This allows for flexibility in managing blood glucose levels.
What is a key advantage of the basal bolus regime?
Flexibility in dosing
Doses can be adjusted based on daily routines.
What is a disadvantage of the basal bolus regime?
A lot of injections
This may not be ideal for everyone.
What is the ideal insulin regime for type 1 diabetes?
Short acting at mealtimes and long acting at bedtime
This helps maintain stable glucose levels throughout the day.
What is the recommended insulin regime for type 2 diabetes?
Short acting and intermediate insulin
This can help manage blood glucose effectively.
What does the once daily regime involve?
A single dose daily
This is specifically for type 2 diabetics.
What type of insulin is used for those who experience hyperglycaemia throughout the day and night?
Long acting insulin
This helps provide consistent glucose control.
What type of insulin is suitable for those who experience hyperglycaemia at night or morning?
Intermediate insulin
This is effective for managing overnight and morning glucose levels.
What is the mixed or biphasic regime recommended for?
Type 2 diabetes
It assumes three meals daily.
How many times a day can injections be given in the biphasic regime?
Once, twice, or three times a day
These injections are taken before meals.
What are the two phases of activity in the biphasic regime?
Soluble/rapid acting insulin and intermediate insulin
This combination allows for flexible glucose management.
Who is the biphasic regime ideal for?
Type 1 patients with a consistent routine
It is suitable for school children injecting before and after school.
What is a significant benefit of the mixed biphasic regime?
No multiple injections throughout the day
This makes it easier for some patients to manage their diabetes.
Who should not use the mixed biphasic regime?
Acutely ill patients or newly diagnosed patients
It is only for diagnosed type 1 patients.
What is the continuous subcutaneous insulin infusion commonly known as?
Insulin pump
This provides a regular or continuous amount of insulin.
What type of insulin is usually used with insulin pumps?
Rapid acting analogue or soluble insulin
This allows for effective management of blood glucose levels.
Who is the insulin pump intended for?
Adults with disabling hyperglycaemia or high HbA1c
It is used in specific patient populations.
What factors can decrease insulin requirements?
Physical activity, vomiting, reduced food intake, impaired renal function
These factors may necessitate adjustments in insulin dosage.
What factors can increase insulin requirements?
Insulin, stress, trauma, and pregnancy
These situations may lead to higher insulin needs.
What must patients use for safe disposal of insulin administration materials?
Safe disposal lancets, single-use syringes, and needle-suitable containers
Proper disposal is critical for safety.
What are common errors in insulin prescribing and administration?
Dosing error, wrong frequency, delayed doses
These errors can lead to poor diabetes management.
