front 1 What are the rapid insulins? | back 1 Lispo, Aspart, Glulisine (LAG) "logs" |
front 2 Lispro is identical to human insulin except for? | back 2 reversal of amino acids (lysine and proline) |
front 3 How would you administer Lispro? | back 3 inject before meals |
front 4 What are some characteristics of Lispro? | back 4 they are absorbed quickly and have a shorter half life via subQ injection |
front 5 What is the onset and duration of rapid insulins? | back 5 <15 minutes and last 4-8 hours. |
front 6 what do rapid/short insulins mimic? | back 6 BOLUS (quick acting) bc the effects are similar to when the pancreas releases insulin after meals |
front 7 What is the rapid insulin with the shortest onset? | back 7 glulisine |
front 8 What is glulisine's onset? | back 8 5-10 minutes |
front 9 what is an example of a short acting insulin? | back 9 IV regular insulin |
front 10 what is the insulin ONLY used for acute management of DKA, HHS, and hyperkalemia? | back 10 IV regular insulin |
front 11 What is the onset, duration, and peak of IV regular insulin? | back 11 Onset: 30 minutes to 1 hour Peak: 2-3 hours Duration: 5-7 hours |
front 12 What is the intermediate insulin? | back 12 Isophane (NPH) |
front 13 What does Isophane (NPH) look like? | back 13 cloudy |
front 14 Isophane + what insulin can be combined for a more consistent control of BG levels? | back 14 short acting insulin |
front 15 What is Isophane (NPH) used for? | back 15 long term insulin therapy |
front 16 What is the onset, peak, and duration of Isophane (NPH)? | back 16 Onset: 1-1.5 hours Peak: 8-12 hours Duration: 18-24 hours |
front 17 What are some examples of long acting insulins? | back 17 glargine, detemir |
front 18 What is the onset, peak and duration for glargine/detemir? | back 18 Onset: 1 hr Peak: NO PEAK!!!! Duration: 24 hours |
front 19 What do intermediate/long insulins do? | back 19 provide basal dosing (they are long acting) |
front 20 What is the normal range for blood glucose? | back 20 70-100 |
front 21 What are some signs of hypoglycemia? | back 21 hunger, tachycardia, fatigue, shaking, sweaty, pallor, headache, dizziness -> confusion, slurred speech, blurry vision, fainting, seizures, coma, agitation. |
front 22 When do you administer bolus insulin? | back 22 before meals |
front 23 How long do basal insulins last? | back 23 all day |
front 24 What type of insulin do T1 diabetics take? | back 24 rapid/short acting |
front 25 How many times a day do type 2 diabetics take their insulin? | back 25 2 times |
front 26 When should the patient administer regular insulin? | back 26 30-45 minutes before meals |
front 27 When should a patient administer rapid insulin? | back 27 15 minutes before meals |
front 28 When should a patient administer a long acting insulin? | back 28 at bedtime or in the morning |
front 29 What does A1C mean? | back 29 average glucose for the past 2-3 months |
front 30 What A1C percentage means that a person is prediabetic? | back 30 >5.7 |
front 31 What A1C percentage means that a person is diabetic? | back 31 >6.5 |
front 32 What is a fasting glucose? | back 32 glucose level after not eating/drinking for the past 8 hours |
front 33 What fasting glucose level means that a person is prediabetic? | back 33 >100 mg/dL |
front 34 What fasting glucose level means that a person is diabetic? | back 34 >126 mg/dL |
front 35 What is OGTT? | back 35 an oral glucose tolerance test taking |
front 36 What OGTT level means that a person is prediabetic? | back 36 >140 |
front 37 What OGTT level means that a person is diabetic? | back 37 >200 |
front 38 T1 diabetics will always require? | back 38 exogenous insulin |
front 39 T2 will eventually need insulin when? | back 39 beta cell function no longer produces endogenous insulin |
front 40 What are signs and symptoms of diabetes? | back 40 polyphagia, polyuria, polydypsia |
front 41 What does post prandial mean? | back 41 AFTER MEALS |