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Flashcards in Subcutaneous Insulin management Deck (20)
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1

what is the target range of insulin for hospital patients

6-12mmol/L

2

when is insulin replacement therapy used

when no endogenous insulin, for insulin deficiency or when other diabetes medication ineffective

3

when is basal insulin produced and how much of endogenous insulin does this make up

all the time, makes up just under 50% of insulin

4

when is post-prandial insulin produced and in response to what

at meal times, in response to increased blood glucose

5

what is the standard conc. of subcutaneous insulin

100 units/ml

6

what are 2 common errors made in the administration of subcutaneous insulin

inappropriate use of non-insulin syringes, marked in ml instead of units
use of abbreviations such as U instead of units, can be misread and wrong dose given

7

what must always be given with quick acting insulins

carbohydrate

8

when are quick acting insulins used

for insulin cover at meal times with carbs or when high carb snacks

9

describe the action of rapid-acting analogue insulin and give an example

immediate action, peak at around 2 hours after given
example = Humalog

10

describe the action and give an example of a short-acting(soluble) insulin

30 min to take affect, peak action at 4 hours
example = Humulin S

11

when are long acting insulins usually given to patients

once daily, at same time each day
(sometimes 2 daily, 12hrs apart)

12

what is the benefit of analogue long acting insulin

longer duration of action(around 24hours)

13

what is needed in conjunction with long acting insulin and why

short-acting insulin at meal times as long-acting provides basal rate with no increase at meal times when glucose increases

14

what is fixed mix insulin and when is it given

either rapid-acting analogue-intermediate mixture
OR short acting-intermediate mixture
usually given twice daily before breakfast and dinner

15

what is an example of a long acting insulin

Insulatard or Humulin I(analogue)

16

for basic insulin adjustment how often should blood glucose be checked in patients on twice daily dose

review blood glucose pattern over previous 48hours

17

how is basic insulin dose adjusted in those on 2 daily doses with blood glucose higher than target

if higher before lunch + tea, increase at breakfast
if higher before breakfast + lunch, increase at tea
(usually increase by 10%)

18

how is basic insulin dose adjusted in those on 2 daily doses, with blood glucose lower than 6mmol/L

if lower before lunch + tea, reduce breakfast insulin dose
if lower before breakfast + lunch, reduce tea time insulin dose
(usually 10% decrease)

19

how is the basic insulin dose adjusted in those on multiple daily doses, with blood glucose higher than target

if > at lunch, increase breakfast dose
if > at teatime, increase lunch dose
if > at suppertime, increase evening meal dose
if > breakfast, increase basal insulin dose

20

how is the basic insulin dose adjusted in those on multiple daily doses, with blood glucose lower than 6mmol/L

if < at lunchtime, reduce breakfast dose
if < at teatime, reduce lunchtime dose
if < at suppertime, reduce evening meal dose
if < at breakfast, reduce basal insulin dose