Question

1. Matt takes a split dose of NPH (intermediate) and Humalog (rapid) insulin before breakfast (am dose) and dinner (pm dose) each day. He checks his blood sugar before lunch and it ranges between 90-130 mg/dl and before dinner it ranges between 170-210 mg/dl. To improve blood sugar control Matt should: Increase am dose of Humalog Increase am dose of NPH Increase pm dose of Humalog Increase pm dose of NPH a. d. 2. Sandy's insulin dose: 12 units NPH (intermediate-acting) 7:00 am 8 units Humalog (rapid-acting) 7:00 am 10 units Humalog (rapid-acting) 6:00 pm 8 units NPH (intermediate-acting) 12:00 pm Sandy's blood glucose level was 300 mg/dl at 10:00 pm and she wanted to bring it down to 150 mg/dl how much Humalog would she need to take? (round to nearest whole number)

Answer 1

C is the answer

a. is wrong as . an Increase in Humalog am dose will not have its action till night/dinner time. As we know Humalog is fast-acting Humalog fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours.

b.is wrong as  NPH's onset of action is 1 to 2 hours and peak action after 4 to 8 hours of administration.

c is the right answer as it is a is fast-acting Humalog fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. So the patient should take/be given an increased dose of Humalog PM dose.

d is wrong as NPH's onset of action is 1 to 2 hours and peak action after 4 to 8 hours of administration. And will not act quickly.