Rapid Acting Insulins |
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Lispro= humalog
Aspart= novolog |
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Rapid Acting Insulin
Onset of action
peak action
duration of action |
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onset= 5-15 minutes for both
peak= lispro: 1 hr; aspart: 40-50 minutes
duration= lispro: 3hr; aspart: 4-6 hr |
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Time for adverse reaction
Rapid Acting Insulin
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Midmorning; trembling and weakness |
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Characteristics of
Rapid Acting Insulin |
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pt should eat within 5-15 minutes after injection; its also used in insulin pumps |
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Short acting Insulin |
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Regular Insulin (Humalin R, Novolin R, Iletin II Regular) |
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Short Acting Insulin
Onset of action
peak action
duration of action |
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onset= 30-60 mins
peak= 2-3 hr
duration= 4-6 hr |
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Time of Adverse Reaction
Short Acting Insulin |
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Midmorning
Midafternoon= weakness and fatigue |
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Characteristics of short Acting insulin |
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its a clear solution given 20-30 minutes before meals, can be given alone or with other insulins. |
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Intermediate Acting Insulin |
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NPH (isophane) |
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Intermediate Acting Insulin
Onset of action
peak action
duration of action |
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onset= 2-4 hr
peak= 6-12 hr
duration= 16-20 hr |
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Time for adverse Reactions
intermediate Acting Insulin |
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Early evening= wekaness and fatigue |
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Characteristics of Intermediate Acting Insulin |
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white and clloudy solution, and can be given after meals |
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Long acting Insulin |
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Glargine(Lantus) |
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Long Acting Insulin
Onset of action
peak action
duration of action |
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Onset= 1 hr
Peak= Continous no Peak
duration= 24 hr |
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Characterisitcs for long acting insulin |
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maintains blood glcose levels regardless of meals, CANNOT BE MIXED WITH OTHER INSULIN. This is given at bedtime, hours of sleep (hs) |
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the action of all insulins |
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to reduce blood glucose levels by increasing glucose tranport to cell membranes; it also enhances the conversion of glucose to glycogen. |
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Education for pts taking Insulins |
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rotate sites for injections to prevent lipohypertrophy, or fibropatty masses at injection sites. Only regular insulin can be given IV, THE REST CAN ALL BE GIVEN SQ |
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WHAT HERBS INCREASES BLOOD GLUCOSE LEVELS THAT HAVE INTERACTIONS |
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BEE POLLEN, GINKO BILOBA, GLUCOSAMINES |
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WHAT HERBS DECREASES BLOOD GLUCOSE LEVELS THAT HAVE INTERACTIONS |
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BASIL, BAY LEAF, CHROMIUM, ECHINACCA, GARLIC, GINSENG |
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