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Questions and Answers
A person with an A1c of 6.2% is considered to have diabetes.
A person with an A1c of 6.2% is considered to have diabetes.
False (B)
Which of the following is NOT a classic symptom of undiagnosed diabetes?
Which of the following is NOT a classic symptom of undiagnosed diabetes?
The autoimmune destruction of beta cells is characteristic of ______ diabetes.
The autoimmune destruction of beta cells is characteristic of ______ diabetes.
Type 1
What is the A1c goal for most patients with diabetes?
What is the A1c goal for most patients with diabetes?
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Match the following A1c ranges with their corresponding blood glucose levels:
Match the following A1c ranges with their corresponding blood glucose levels:
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Which of the following is a characteristic of Type 2 diabetes?
Which of the following is a characteristic of Type 2 diabetes?
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Which rapid-acting insulin option has a duration of 3-5 hours?
Which rapid-acting insulin option has a duration of 3-5 hours?
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Lyumjev (insulin lispro-aabc) is an ultra-rapid acting insulin that can be injected up to 20 minutes after starting a meal.
Lyumjev (insulin lispro-aabc) is an ultra-rapid acting insulin that can be injected up to 20 minutes after starting a meal.
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What is the onset of action for Fiasp (insulin aspart)?
What is the onset of action for Fiasp (insulin aspart)?
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The ultra-rapid acting insulin, Fiasp, is formulated with ______ to achieve faster absorption.
The ultra-rapid acting insulin, Fiasp, is formulated with ______ to achieve faster absorption.
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Match the insulin types with their corresponding duration:
Match the insulin types with their corresponding duration:
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Which insulin(s) are typically injected 15 minutes before a meal?
Which insulin(s) are typically injected 15 minutes before a meal?
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Apidra (insulin glulisine) has a faster onset of action than NovoLog (insulin aspart).
Apidra (insulin glulisine) has a faster onset of action than NovoLog (insulin aspart).
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What is the recommended administration route for all the insulins listed in the content?
What is the recommended administration route for all the insulins listed in the content?
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The recommended injection sites for the insulins in this content include the abdomen, upper arm, thigh, and ______.
The recommended injection sites for the insulins in this content include the abdomen, upper arm, thigh, and ______.
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Which insulin option can be injected immediately after a meal?
Which insulin option can be injected immediately after a meal?
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What is the typical onset time of Humalin R U-100?
What is the typical onset time of Humalin R U-100?
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Concentrated Humulin R U-500 has a shorter duration of action compared to Humulin R U-100.
Concentrated Humulin R U-500 has a shorter duration of action compared to Humulin R U-100.
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What is the primary purpose of intermediate-acting insulin, such as Humulin N?
What is the primary purpose of intermediate-acting insulin, such as Humulin N?
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Afrezza is a type of insulin that is administered via ______.
Afrezza is a type of insulin that is administered via ______.
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Match the following insulin types with their corresponding onset times:
Match the following insulin types with their corresponding onset times:
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Regular insulin is typically injected 30 minutes before a meal.
Regular insulin is typically injected 30 minutes before a meal.
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Which of the following insulin types is NOT listed as being short-acting?
Which of the following insulin types is NOT listed as being short-acting?
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What is the typical duration of action for Afrezza?
What is the typical duration of action for Afrezza?
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Humulin N is an example of ______ acting insulin.
Humulin N is an example of ______ acting insulin.
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Which of the following insulins is considered a long-acting insulin?
Which of the following insulins is considered a long-acting insulin?
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Which of the following insulin types is typically administered twice daily?
Which of the following insulin types is typically administered twice daily?
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Humalin U-500 is a short-acting insulin with a duration of action of about 2-4 hours.
Humalin U-500 is a short-acting insulin with a duration of action of about 2-4 hours.
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How long does it typically take for Novolin N to begin working after injection?
How long does it typically take for Novolin N to begin working after injection?
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The recommended administration time for Novolin N is ______ minutes before a meal.
The recommended administration time for Novolin N is ______ minutes before a meal.
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Match the insulin type with its corresponding duration of action:
Match the insulin type with its corresponding duration of action:
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It is recommended to inject Lantus once daily, but twice daily injections may be beneficial for some patients.
It is recommended to inject Lantus once daily, but twice daily injections may be beneficial for some patients.
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Which of the following factors should be considered when determining the frequency of Humalin U-500 injections?
Which of the following factors should be considered when determining the frequency of Humalin U-500 injections?
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What is the recommended time interval for injecting Novolin N?
What is the recommended time interval for injecting Novolin N?
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Injecting Lantus twice daily is recommended for some patients to provide better ______ coverage.
Injecting Lantus twice daily is recommended for some patients to provide better ______ coverage.
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It is generally safe to administer insulin without checking glucose levels beforehand.
It is generally safe to administer insulin without checking glucose levels beforehand.
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A patient presents with symptoms of frequent urination, excessive thirst, and unintentional weight loss. Their A1c is 7.2%. What is the most likely diagnosis?
A patient presents with symptoms of frequent urination, excessive thirst, and unintentional weight loss. Their A1c is 7.2%. What is the most likely diagnosis?
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A 30-year-old patient is newly diagnosed with diabetes and has no family history of the disease. Their BMI is normal. Based on this information, what is the most likely type of diabetes they have?
A 30-year-old patient is newly diagnosed with diabetes and has no family history of the disease. Their BMI is normal. Based on this information, what is the most likely type of diabetes they have?
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Which of the following statements about Type 2 Diabetes (T2DM) is FALSE?
Which of the following statements about Type 2 Diabetes (T2DM) is FALSE?
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A patient has an A1c of 5.9%. What is the most appropriate clinical classification for this patient?
A patient has an A1c of 5.9%. What is the most appropriate clinical classification for this patient?
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A patient presents with symptoms of frequent urination, excessive thirst, and blurred vision. They have a family history of diabetes. What is the most likely cause of these symptoms?
A patient presents with symptoms of frequent urination, excessive thirst, and blurred vision. They have a family history of diabetes. What is the most likely cause of these symptoms?
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Which of the following is NOT a characteristic of Type 1 Diabetes (T1DM)?
Which of the following is NOT a characteristic of Type 1 Diabetes (T1DM)?
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A patient with an A1c of 6.7% is considered to have _______.
A patient with an A1c of 6.7% is considered to have _______.
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Which of the following is a potential long-term complication of poorly controlled diabetes?
Which of the following is a potential long-term complication of poorly controlled diabetes?
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A patient with a history of diabetes experiences episodes of fatigue, blurry vision, and increased thirst. What is the most likely cause of these symptoms?
A patient with a history of diabetes experiences episodes of fatigue, blurry vision, and increased thirst. What is the most likely cause of these symptoms?
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Flashcards
Classic Symptoms of Diabetes
Classic Symptoms of Diabetes
Symptoms include polyuria, polydipsia, polyphagia, blurred vision, fatigue, slow healing, dry mouth, and frequent infections.
T1DM Characteristics
T1DM Characteristics
Type 1 Diabetes Mellitus (T1DM) is characterized by autoimmune β-cell destruction, insulin dependency, younger onset, and a lean body type.
T2DM Characteristics
T2DM Characteristics
Type 2 Diabetes Mellitus (T2DM) involves insulin resistance, gradual onset, obesity association, and may not require insulin initially.
A1c Levels for Diagnosis
A1c Levels for Diagnosis
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Definition of A1c
Definition of A1c
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A1c Goal for Patients
A1c Goal for Patients
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Fiasp
Fiasp
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Lyumjev
Lyumjev
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Admelog
Admelog
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Humalog
Humalog
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NovoLog
NovoLog
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Apidra
Apidra
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Onset of action
Onset of action
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Duration of action
Duration of action
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Subcutaneous injection
Subcutaneous injection
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Ultra-rapid acting vs Rapid acting
Ultra-rapid acting vs Rapid acting
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Novolin N
Novolin N
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Humulin U-500
Humulin U-500
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Long Acting Insulin
Long Acting Insulin
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Lantus
Lantus
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Basaglar
Basaglar
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Insulin Onset
Insulin Onset
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Insulin Duration
Insulin Duration
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Inject 30 minutes before meal
Inject 30 minutes before meal
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Assess meal suitability for insulin
Assess meal suitability for insulin
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Insulin stacking
Insulin stacking
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Regular Insulin Onset
Regular Insulin Onset
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Regular Insulin Duration
Regular Insulin Duration
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Humulin R U-100
Humulin R U-100
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Novolin R U-100
Novolin R U-100
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Afrezza
Afrezza
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Humulin N Onset
Humulin N Onset
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Humulin N Duration
Humulin N Duration
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Administration Frequency for Humulin N
Administration Frequency for Humulin N
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Short vs Intermediate Acting Insulin
Short vs Intermediate Acting Insulin
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Three P's of Diabetes
Three P's of Diabetes
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Blurred Vision
Blurred Vision
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Fatigue in Diabetes
Fatigue in Diabetes
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T1DM Onset
T1DM Onset
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T2DM Age Group
T2DM Age Group
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Cause of T1DM
Cause of T1DM
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A1c for Diabetes
A1c for Diabetes
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A1c Levels: Prediabetes
A1c Levels: Prediabetes
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Insulin Dependence in T1DM
Insulin Dependence in T1DM
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Obesity and T2DM
Obesity and T2DM
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Study Notes
Symptoms of Undiagnosed Diabetes
- Classic symptoms include: excessive urination (polyuria), excessive thirst (polydipsia), excessive hunger (polyphagia).
- Additional symptoms may include: blurred vision, fatigue, slow-healing wounds, dry mouth, frequent infections.
Type 1 vs. Type 2 Diabetes
- Type 1 Diabetes (T1DM): Characterized by autoimmune destruction of beta cells in the pancreas, requiring insulin for survival. Typically develops at a younger age and is often associated with a lean body type.
- Type 2 Diabetes (T2DM): Involves insulin resistance, and often develops gradually, frequently linked to obesity. May not initially require insulin.
Diabetes Diagnosis and Risk Assessment
- Diabetes: A1c (glycated hemoglobin) level of 6.5% or higher indicates diabetes.
- Prediabetes: An A1c between 5.7% and 6.4% suggests prediabetes.
- Normal: An A1c level below 5.7% indicates normal blood glucose levels.
Understanding A1c
- A1c measurement reflects average blood glucose levels over approximately three months.
- It measures the amount of glucose attached to hemoglobin.
A1c Targets for Patients
- A specific A1c target for most patients is provided; this information is missing from the original provided text.
Insulin Types and Actions
- Ultra-rapid acting: Includes Fiasp (insulin aspart) and Lyumjev (insulin lispro-aabc); onset is ~5-10 minutes to ~15 minutes, durations are 3-5 hours. Administered at the start of a meal or within 20 minutes after starting.
- Rapid acting: Includes Admelog (insulin lispro), Humalog (insulin lispro), NovoLog (insulin aspart), and Apidra (insulin glulisine); onset times range from 10-20 minutes to up to 30 minutes, and durations are 3-5 hours. Administration varies by type: 15-30 minutes before a meal or immediately after. Apidra, for example, is typically 5-10 minutes prior to a meal, or within 20 minutes after.
- Short acting: Includes Humulin R U-100 (regular insulin), Novolin R U-100 (regular insulin), and Afrezza (inhalation, regular insulin). Onset is around 30 minutes, durations are 8 hours. Humulin R U-500 (concentrated regular insulin) has a duration closer to 21 hours. Methods of adminstration depend on the individual type, prior to a meal or at the start, inhaling is also an option.
- Intermediate Acting: Includes Humulin N (neutral protamine Hagedorn) and Novolin N (NPH); onset is 1.5 hours, and durations of 12-24 hours. Administered once or twice daily for basal insulin coverage. Twice daily dosing is often necessary to achieve 24-hour basal insulin coverage.
- Long Acting: Includes Lantus (insulin glargine), Basaglar (insulin glargine), Semglee (insulin glargine-yfgn), Rezvoglar (insulin glargine-aglr), and Toujeo (insulin glargine); onset 1.5 hours, and durations of 24-36 hours. These are typically administered once daily.
- Ultra-Long Acting: Includes Tresiba (insulin degludec); onset of 1.5 hours, and a duration of 36-42 hours. Administered once daily.
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Description
This quiz covers the classic symptoms of undiagnosed diabetes, the differences between Type 1 and Type 2 diabetes, and key diagnostic criteria. Learn about A1c levels and how they relate to diabetes risk assessment. Test your knowledge on this important health topic.