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