Insulin Complexes Quiz

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Questions and Answers

Which type of insulin formulation has an ultra-rapid onset with short duration of action?

  • Insulin lispro (correct)
  • NPH insulin
  • Insulin glargine
  • Protamine-zinc-insulin complex

What is the term that reflects the stoichiometric quantities of protamine and zinc in protamine-zinc-insulin crystals?

  • Humalog
  • Isophane (correct)
  • Apidra
  • Neutral Hagedorn

Which insulin has an onset of 2 hours, peaks at 6-8 hours, and a duration of action of 10-16 hours?

  • NPH insulin (correct)
  • Insulin aspart
  • Insulin lispro
  • Insulin glargine

Which type of insulin has a delayed onset and prolonged duration of action due to being less soluble in extracellular fluids?

<p>Protamine-zinc-insulin complex (D)</p> Signup and view all the answers

Which category of insulin formulations has an intermediate onset with extended action?

<p>Intermediate onset with extended action (A)</p> Signup and view all the answers

What causes the delayed absorption of regular insulin?

<p>Being in hexamers form (D)</p> Signup and view all the answers

What is metformin primarily known for in the treatment of diabetes?

<p>Suppressing glucose production in the liver (D)</p> Signup and view all the answers

How is metformin absorbed when taken orally?

<p>Through plasma membrane transporters like organic cation transporter 1 (OCT1) (D)</p> Signup and view all the answers

What is the primary consequence of metformin's inhibition of mitochondrial respiratory-chain complex 1?

<p>Decreased ATP levels and increased AMP levels (A)</p> Signup and view all the answers

How do most clinicians perceive metformin's impact on weight?

<p>It is considered 'weight neutral' by most clinicians (A)</p> Signup and view all the answers

Which term BEST describes metformin's role in managing diabetes?

<p>Anti-hyperglycemic agent (D)</p> Signup and view all the answers

How does metformin primarily affect glucose production in the liver?

<p>By reducing hepatic glucose production (A)</p> Signup and view all the answers

What is the role of Adenosine MonophosphateActivated Protein Kinase (AMPK) in lowering glucose production?

<p>Phosphorylates transcription factors that inhibit gluconeogenic genes (D)</p> Signup and view all the answers

How does increased AMPK affect mitochondrial glycerol-3phosphate dehydrogenase (mGPD)?

<p>Inhibits mGPD, leading to increased NADH levels (D)</p> Signup and view all the answers

What can lead to lactic acidosis when patients take metformin?

<p>Underlying metabolic conditions like liver disease or heart failure (B)</p> Signup and view all the answers

How is metformin eliminated from the body?

<p>Excreted unchanged in urine (B)</p> Signup and view all the answers

What is the half-life of metformin approximately?

<p>5 hours (C)</p> Signup and view all the answers

In what form is metformin excreted from the body?

<p>Unchanged in urine (A)</p> Signup and view all the answers

What physiological process does insulin promote in relation to weight gain?

<p>Conversion of fatty acids into triglycerides in adipose tissue (C)</p> Signup and view all the answers

What type of hypersensitivity reaction is associated with insulin allergies?

<p>Type I Hypersensitivity reaction (C)</p> Signup and view all the answers

How does ethanol impact the risk of hypoglycemia in insulin-treated patients?

<p>Ethanol inhibits gluconeogenesis (A)</p> Signup and view all the answers

How do β-blockers affect insulin-treated patients during hypoglycemia?

<p>β-blockers inhibit the protective effects of catecholamines (D)</p> Signup and view all the answers

What is the primary mode of insulin delivery for standard therapy?

<p>Subcutaneous injection (A)</p> Signup and view all the answers

What effect does the development of insulin antibodies have on insulin-treated patients?

<p>Insulin antibodies neutralize the effect of insulin (D)</p> Signup and view all the answers

What is the main diagnostic use of HbA1c levels?

<p>To estimate the effectiveness of therapy in controlling blood glucose over a 2-3 month period in diabetics (B)</p> Signup and view all the answers

What is the goal of therapy in diabetics regarding HbA1c levels?

<p>To reduce HbA1c levels to &lt; 6.5% (B)</p> Signup and view all the answers

What is the mechanism by which sulfonylureas stimulate insulin release from pancreatic β-cells?

<p>By binding to a receptor associated with KATP channels in the pancreatic β-cell membrane (C)</p> Signup and view all the answers

What was the historical significance of sulfa drugs in the development of sulfonylureas?

<p>They were the first drugs to cause hypoglycemia in patients (B)</p> Signup and view all the answers

What is the main pharmacokinetic property that distinguishes sulfonylureas from each other?

<p>Duration of action (B)</p> Signup and view all the answers

What is the main action of sulfonylureas on pancreatic β-cells?

<p>Stimulation of insulin release (D)</p> Signup and view all the answers

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