LG 1 - Metabolism: Rapid, Short, Intermediate & long acting insulins
A diabetic patient is waiting to undergo a gastrectomy that will take place in 8hrs. The patients A1C's were at 7%, and fasting BG levels were at 180 mg / dL. The patient needs to lower their blood glucose levels before surgery, but cannot be on any insulin that has a duration longer than 6 hours. You know the nurse made the correct choice when she gives the patient: A) Lispro B) Regular C) NPH D) Glargine
A) Lispro Lispro is the only insulin that has a duration lasting up to 6hrs Lispro duration: 3 - 6hrs Regular insulin duration: 6 - 10hrs NPH duration: 16 - 24hrs Glargine duration: 18 - 24hrs
What is an example of a long acting insulin?
Glargine
What type insulin has an onset of 1 - 2hrs and a peak of 6 - 14 hrs? What is an example of this?
Intermediate acting insulin - NPH
What is an example of a rapid acting insulin?
Lispro (Humalog)
What type of insulin has an onset of 70min and no peak? What is an example of this?
Long acting insulin - e.g. Glargine
What is an example of an intermediate acting insulin?
NPH
What is the peak, onset, and duration for NPH?
Onset: 1 - 2hrs Peak: 6 - 14hrs Duration: 16 - 24hrs
What is the onset, peak, and duration of Lispro?
Onset: 15 - 30min Peak: 30min - 2.5 hr Duration: 3hr - 6 hr
What is the onset, peak, and duration of rapid acting insulins?
Onset: 15min - 30min Peak: 30min - 2.5hr Duration: 3-6hr Example: Lispro
What is the peak, onset, and duration of intermediate acting insulin? Example?
Onset: 1hr - 2hrs Peak: 6hrs - 14hr Duration: 16hrs - 24 hrs Example: NPH
What is the peak, onset, and duration of regular insulin?
Onset: 30min - 1hr Peak: 1hr - 5hr Duration: 6hr - 10hr
What is the peak, onset, and duration of short acting insulin? Example
Onset: 30min - 1hr Peak: 1hr -5hrs Duration: 6hrs - 10hrs Example: Regular
What is the onset, peak and duration for glargine?
Onset: 70min Peak: none Duration: 18 - 24 hrs
What is the peak, onset, and duration for long acting insulin? Example?
Peak: 70min Onset: none Duration: 18 - 24hrs Example: Glargine
What are four types of insulin? What are examples of each?
Rapid acting - Lispro Short acting - Regular Intermediate acting - NPH Long acting - Glargine
What is an example of a short acting insulin?
Regular insulin
What type of insulin has an onset of 30min - 1hrs and a peak of 1 - 5hrs? What is an example of this?
Short acting insulin - e.g. Regular
A patient is told by their doctor they should have their breakfast prior to their insulin peaking. The insulin this patient is prescribed will peak around 1-5 hrs after injection. What type of insulin in this patient taking? What is an example of this type of insulin?
Type: Short acting insulin Example: Regular Regular insulin- Onset: 30min - 1hr Peak: 1 - 5 hrs Duration: 6 - 10 hrs