Diabetes Management: Basal Insulin Quiz

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Questions and Answers

What is the primary function of basal insulin?

  • To promote weight loss
  • To control blood sugar during meals
  • To increase insulin sensitivity in cells
  • To regulate blood glucose levels between meals (correct)

Which insulin type is considered the least ideal for basal insulin therapy?

  • Detemir (Levemir®)
  • NPH insulin (correct)
  • Rapid-acting insulin
  • Glargine (Lantus®)

When is basal insulin typically administered?

  • Between mealtimes and before bedtime (correct)
  • Only before meals
  • During the day only
  • Only at bedtime

What is a characteristic feature of NPH insulin?

<p>It has a distinct peak and requires twice-daily dosing (A)</p> Signup and view all the answers

Which of the following statements about basal insulin is true?

<p>It helps maintain near-normal glycemic levels during fasting. (D)</p> Signup and view all the answers

Flashcards

Basal insulin

Insulin that works slowly and steadily over a long period of time, helping to keep blood sugar levels balanced between meals and overnight.

Basal insulin use

Type of insulin that is injected between meals and at bedtime to control blood sugar levels when you're not eating.

NPH insulin

A type of basal insulin that has a distinct peak in its action and needs to be injected twice a day.

Detemir insulin

A longer-acting type of basal insulin that doesn't have a distinct peak and lasts longer than NPH.

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Hepatic glucose production

The process of the liver releasing glucose into the bloodstream, which can be affected by basal insulin.

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Study Notes

Basal Insulin (Background Insulin)

  • Basal insulin, also known as background insulin, is a longer-acting insulin that controls blood glucose (BG) levels between meals.
  • It works by reducing glucose production in the liver and maintaining stable blood sugar levels during fasting.
  • Patients typically take basal insulin between meals and before bed.
  • Different types of basal insulin exist with varying actions:

Insulin Types

  • Neutral protamine Hagedorn (NPH) insulin: This is the least preferred option due to having a distinct peak and duration of action shorter than 24 hours, usually requiring twice-daily doses. It is an intermediate-acting insulin.

  • Detemir (Levemir®): While also having a peak, its duration of action is longer than NPH insulin.

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