Module 8 Quizzez

You are prescribing insulin to a newly diagnosed type 1 patient. What are the 4 key points of insulin that are essential for the patient to know and understand?

1) Onset of action: this affects timing of administration 2) Peak Affect: when will the insulin have its most potent impact 3) Duration of action: predicts frequency of dosing 4) Compatibility with other insulins or other medications

Under the insulin sensitizer catagory; suppresses hepatic glucose production

Biguanide (Metformin)

Which type of diabetes is clinical use of insulin appropriate? A) Ttype 1 B) Type 2 C) Gestational D) All of the above

D) All of the above

Which of the following types of treatment would NOT be appropriate for all people with diabetes? A) Reduce hyperglycemia B) Reduce cardiovascular disease risk C) Emphasize the AADE 7 self care behaviors D) Reduce hypoglycemia

D) Reduce Hypoglycemia

Onset: 1-2 hours Peak: flat/no peak Duration: 24 hours Issues: Basal insulin, no concern with peak time

Glargine/Detemir

A variety of factors influence insulin absorption. Name 2 of these factors.

Injection site Depth of injection Exercise Body temperature Insulin type and dose Insulin mixture

Onset: 15 minutes Peak: 1-2 hours Duration: 2-4 hours Issues: Shoot and eat

Lispro/Aspart/Glulisine (Rapid Acting)

Insulin secretagogues; short acting; taken with meals; lower risk of hypoglycemia

Metglitinides

Onset: 2-4 hours Peak: 4-8 hours Duration: 6-10 hours Issues: eat to meet onset and peak time

NPH

. Onset: 30-60 minutes Peak: 2-4 hours Duration: 4-8 hours Issues: timing problems

Regular

Insulin secretagogues; stimulates insulin secretion from pancreas; has a long lasting effect

Sulfonylureas

Insulin sensitizer; improves peripheral insulin sensitivity

Thiazolidinediones (TZD)

T/F: You would advise someone taking sulfonylureas to monitor for hypoglycemia.

True