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