29 Questions
What is the onset time for regular short-acting insulin?
30 minutes
Which intermediate insulin has a duration of 10-18 hours?
NPH insulin
What is characteristic of rapid acting insulins like Lispro, Aspart, and Glulisine?
5-15 minutes onset
Which insulins have no peak and a duration of 24 hours according to the text?
Long acting insulins
What is a characteristic of Sulfonylurea medications based on the text?
End in RIDE
Which medication type ends in ZONE according to the provided text?
Thiazolidinediones
What is the peak time for short-acting regular insulin?
2.5 hours
Which insulin is both IV and SUBQ and is considered short-acting?
Regular
What is a unique feature of Afrezza insulin among the listed insulins?
It is inhaled
Which insulins need patients to eat a meal after injection for optimal effect?
Lispro, Aspart, Glulisine
Which type of medication is indicated to end in GLIPTINS according to the text provided?
DPP-IV inhibitors
What is the recommended first-line drug for type 2 diabetes according to the text?
Metformin
What is the peak time for NPH insulin according to the text?
4-8 hours
Which type of medication is indicated to end in TIDE based on the provided text?
Injectable GLP-1 medications
When is the onset time for long-acting Glargine, Detemir, and Degludec insulin?
1-2 hours
Which form does D50W or Dextrose 50 come in?
IV form
What is the duration for short-acting regular insulin as mentioned in the text?
6-10 hours
Which insulins are classified as rapid acting based on the text?
Lispro, Aspart, Glulisine, Afrezza
What is the peak time for rapid acting Lispro, Aspart, and Glulisine insulin?
1-2 hours
Which form are the oral versions of glucose-elevating drugs according to the text?
Buccal tabs and semisolid gel
What type of drug ends in FLOZIN as mentioned in the text?
SGLT2 inhibitor
According to the information provided, what should be avoided for patients with sulfa allergies?
RIDE medications
The duration for rapid acting Lispro, Aspart, and Glulisine is
3-5 hours
NPH insulin is _____ acting.
intermediate
The insulins Glargine, Detemir, and Degludec are _____ acting insulins.
long
Long acting Glargine, Detemir, and Degludec are your go to insulins for patients that need constant coverage or have busy lifestyles.
True
Metformin is a biguanide.
True
The onset for intermediate acting NPH insulin is _____ hours.
1-2
Glucagon is the _____ form of glucose elevating drugs.
SUBQ
Study Notes
Insulin Types and Characteristics
- Regular insulin is short acting and can be given IV or SUBQ.
- The onset of short acting regular insulin is 30 minutes, peak is 2.5 hours, and duration is 6-10 hours.
Inhaled Insulin
- Afrezza is a rapid acting inhaled insulin.
Intermediate Acting Insulin
- NPH insulin is intermediate acting.
- The onset of intermediate acting NPH insulin is 1-2 hours, peak is 4-8 hours, and duration is 10-18 hours.
Rapid Acting Insulins
- Lispro, Aspart, and Glulisine are rapid acting insulins.
- Patients should eat a meal after injection of rapid acting insulins.
- The onset of rapid acting Lispro, Aspart, and Glulisine is 5-15 minutes, peak is 1-2 hours, and duration is 3-5 hours.
Long Acting Insulins
- Glargine, Detemir, and Degludec are long acting insulins.
- The onset of long acting Glargine, Detemir, and Degludec is 1-2 hours, with no peak, and duration is 24 hours.
- Long acting Glargine, Detemir, and Degludec are suitable for patients who need constant coverage or have busy lifestyles.
Medication Classes
- Sulfonylurea medications end in RIDE.
- Thiazolidinedione medications end in ZONE.
- DPP-IV inhibitors end in GLIPTINS.
- Injectable GLP-1 medications end in TIDE.
- SGLT2 inhibitors end in FLOZIN.
Glucose-Elevating Drugs
- Buccal tabs and semisolid gel are the oral forms of glucose-elevating drugs.
- D50W or Dextrose 50 is the IV form of glucose elevating drugs.
- Glucagon is the SUBQ form of glucose elevating drugs.
Metformin
- Metformin is a biguanide and is the first line drug for type 2 diabetes.
Contraindications
- Do not give Sulfonylureas to patients with sulfa allergies.
Test your knowledge on different types of insulin and their onset, peak, and duration of action. Questions cover regular insulin, rapid-acting insulin like Afrezza, and intermediate-acting NPH insulin.
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