Insulins and basic Diabetes meds.

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Questions and Answers

What is the onset time for regular short-acting insulin?

  • 30 minutes (correct)
  • 1-2 hours
  • 2.5 hours
  • 5-15 minutes

Which intermediate insulin has a duration of 10-18 hours?

  • NPH insulin (correct)
  • Long acting insulin
  • Rapid acting insulin
  • Regular insulin

What is characteristic of rapid acting insulins like Lispro, Aspart, and Glulisine?

  • 5-15 minutes onset (correct)
  • Require a meal after injection
  • 24 hours duration
  • 30 min onset

Which insulins have no peak and a duration of 24 hours according to the text?

<p>Long acting insulins (D)</p> Signup and view all the answers

What is a characteristic of Sulfonylurea medications based on the text?

<p>End in RIDE (A)</p> Signup and view all the answers

Which medication type ends in ZONE according to the provided text?

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

What is the peak time for short-acting regular insulin?

<p>2.5 hours (C)</p> Signup and view all the answers

Which insulin is both IV and SUBQ and is considered short-acting?

<p>Regular (D)</p> Signup and view all the answers

What is a unique feature of Afrezza insulin among the listed insulins?

<p>It is inhaled (C)</p> Signup and view all the answers

Which insulins need patients to eat a meal after injection for optimal effect?

<p>Lispro, Aspart, Glulisine (B)</p> Signup and view all the answers

Which type of medication is indicated to end in GLIPTINS according to the text provided?

<p>DPP-IV inhibitors (C)</p> Signup and view all the answers

What is the recommended first-line drug for type 2 diabetes according to the text?

<p>Metformin (B)</p> Signup and view all the answers

What is the peak time for NPH insulin according to the text?

<p>4-8 hours (C)</p> Signup and view all the answers

Which type of medication is indicated to end in TIDE based on the provided text?

<p>Injectable GLP-1 medications (D)</p> Signup and view all the answers

When is the onset time for long-acting Glargine, Detemir, and Degludec insulin?

<p>1-2 hours (D)</p> Signup and view all the answers

Which form does D50W or Dextrose 50 come in?

<p>IV form (C)</p> Signup and view all the answers

What is the duration for short-acting regular insulin as mentioned in the text?

<p>6-10 hours (B)</p> Signup and view all the answers

Which insulins are classified as rapid acting based on the text?

<p>Lispro, Aspart, Glulisine, Afrezza (A)</p> Signup and view all the answers

What is the peak time for rapid acting Lispro, Aspart, and Glulisine insulin?

<p>1-2 hours (D)</p> Signup and view all the answers

Which form are the oral versions of glucose-elevating drugs according to the text?

<p>Buccal tabs and semisolid gel (C)</p> Signup and view all the answers

What type of drug ends in FLOZIN as mentioned in the text?

<p>SGLT2 inhibitor (B)</p> Signup and view all the answers

According to the information provided, what should be avoided for patients with sulfa allergies?

<p>RIDE medications (A)</p> Signup and view all the answers

The duration for rapid acting Lispro, Aspart, and Glulisine is

<p>3-5 hours (C)</p> Signup and view all the answers

NPH insulin is _____ acting.

<p>intermediate</p> Signup and view all the answers

The insulins Glargine, Detemir, and Degludec are _____ acting insulins.

<p>long</p> Signup and view all the answers

Long acting Glargine, Detemir, and Degludec are your go to insulins for patients that need constant coverage or have busy lifestyles.

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

Metformin is a biguanide.

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

The onset for intermediate acting NPH insulin is _____ hours.

<p>1-2 (B)</p> Signup and view all the answers

Glucagon is the _____ form of glucose elevating drugs.

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

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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.

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