Principles of Insulin Management Flashcards Preview

Endocrinology > Principles of Insulin Management > Flashcards

Flashcards in Principles of Insulin Management Deck (46):
1

Humalog

Rapid acting

2

Humalog

Rapid acting

3

NovoRapid

Rapid acting

4

Apidra

Rapid acting

5

Actrapid

Short acting

6

Insuman rapid

Short acting

7

Insulatard

Intermediate acting

8

Once daily insulin regime, when do you take your injection?

At night

9

Twice daily insulin regime, when do you take your injections?

Before breakfast and before dinner

10

Basal bolus insulin regime, when do you take your injections?

Long acting before bed and rapid acting before each meal (breakfast/lunch/dinner)

11

Factors affecting insulin absorption/action

Temperature
Injection site
Injection depth
Exercise

12

Why should you alternate injection sites?

Lipohypertrophy

13

Where can you inject?

Thighs, tummy, bum, upper arms

14

How to check you blood glucose control?

Home blood glucose monitoring kit
Urine testing
Glycated haemoglobin
Continuous monitor

15

Which trial is type 1 diabetes evidence based on?

DCCT!

16

Pre-prandial blood glucose target

4-7 mmol

17

Post meal blood glucose target

18

How should you adjust insulin if BG

Decrease insulin by 4 units

19

How should you adjust insulin if BG is 4-7 mmol/l?

Don't, this is optimal

20

How should you adjust insulin if your BG is 8-14 mmol/l?

Increase insulin by 2 units

21

How should you adjust insulin if BG is >15 mmol/l?

Increase insulin by 4 units

22

When would you give IV insulin?

DKA
HHS
Acute illness
Fasting/patients who are unable to tolerate oral intake

23

Target BG if you are on IV insulin (i.e. ill)

5-12 mmol/L

24

Measurements you must do if on IV insulin

Hourly blood glucose (BG) monitoring
Aim for BG 5 -12 mmol/L
Free of hypoglycaemia
Check ketones if BG > 12 mmol/L
Check U & E’s at least daily
Safe transition from IV to SC insulin

25

NovoRapid

Rapid acting

26

Apidra

Rapid acting

27

Actrapid

Short acting

28

Insuman rapid

Short acting

29

Insulatard

Intermediate acting

30

Once daily insulin regime, when do you take your injection?

At night

31

Twice daily insulin regime, when do you take your injections?

Before breakfast and before dinner

32

Basal bolus insulin regime, when do you take your injections?

Long acting before bed and rapid acting before each meal (breakfast/lunch/dinner)

33

Factors affecting insulin absorption/action

Temperature
Injection site
Injection depth
Exercise

34

Why should you alternate injection sites?

Lipohypertrophy

35

Where can you inject?

Thighs, tummy, bum, upper arms

36

How to check you blood glucose control?

Home blood glucose monitoring kit
Urine testing
Glycated haemoglobin
Continuous monitor

37

Which trial is type 1 diabetes evidence based on?

DCCT!

38

Pre-prandial blood glucose target

4-7 mmol

39

Post meal blood glucose target

40

How should you adjust insulin if BG

Decrease insulin by 4 units

41

How should you adjust insulin if BG is 4-7 mmol/l?

Don't, this is optimal

42

How should you adjust insulin if your BG is 8-14 mmol/l?

Increase insulin by 2 units

43

How should you adjust insulin if BG is >15 mmol/l?

Increase insulin by 4 units

44

When would you give IV insulin?

DKA
HHS
Acute illness
Fasting/patients who are unable to tolerate oral intake

45

Target BG if you are on IV insulin (i.e. ill)

5-12 mmol/L

46

Measurements you must do if on IV insulin

Hourly blood glucose (BG) monitoring
Aim for BG 5 -12 mmol/L
Free of hypoglycaemia
Check ketones if BG > 12 mmol/L
Check U & E’s at least daily
Safe transition from IV to SC insulin