T1D - pharmacology

Question 1

what is seen as the best insulin regime

Answer 1

basal bolous insulin

Question 2

what are the BGL pre and post meal

Answer 2

4-7mmol/l pre meal

<10mmol/l 1-2 hrs post meal

Question 3

how many units of insulin tx should you start patients on

Answer 3

0.3 units/kg body weight

Question 4

majority of UK patients on analogues. true?

Answer 4

yes

Question 5

name some prandial insulin analogues

Answer 5

insulin aspart
lispro
glulisine

Question 6

what is the onset of action, peak action and duration of insulin analogues

Answer 6

onset = 10-15 mins 
peak = 60-90 mins 
duration = 4-5 hours

Question 7

name 2 basal insulin analogues

Answer 7

Lantus (glargine)

levemir (determir)

Question 8

describe the difference in characteristic of basal analogues to prandial

Answer 8

longer duration of action
less peak activity (flatter profile)
may be given 1 or 2 times a day

Question 9

rapid acting insulin can be altered according to the amount and type of food intake?

Answer 9

yeh

Question 10

what is the rough carb:insulin ratio

Answer 10

1unit of insulin per 10g carb