Question

Worksheet

Insulin

• What does insulin do to glucose?

- What complication can happen if there’s too much insulin?

- What does it look like?

- How is it treated?

- How would beta blockers further impact this complication?

• Look at the drug interactions for insulin in your drug book.

- Drugs that increase hypoglycemia are:

- Drugs that decrease hypoglycemia are:

Types of Insulin

1. Rapid Acting

a. Approximate onset =

b. Approximate peak =

c. Approximate duration =

d. Examples:

2. Short Acting

a. Approximate onset =

b. Approximate peak =

c. Approximate duration =

d. Examples:

3. Intermediate Acting

a. Approximate onset =

b. Approximate peak =

c. Approximate duration =

d. Examples:

4. Long Acting

a. Approximate onset =

b. Approximate peak =

c. Approximate duration =

d. Examples:

• Which insulins are administered related to meals?

- Why? - When should you give?

• Which insulins are administered to provide a basal level of insulin?

- Do they need to be administered related to meals?

- How many times per day would each be administered?

• When would a patient be at risk of hypoglycemia after an insulin injection?

If you gave a dose of insulin aspart (Novolog) at 1200, when would you monitor the patient for signs of hypoglycemia?

• What is the only insulin that’s cloudy?

• What insulins can safely be drawn up in the same syringe?

• Can glargine (Lantus) and regular insulin or lispro or aspart be mixed?

• Can NPH and lispro (Humalog) be mixed?

• Premixed insulin combinations

- Examples:

• Explain in your own words what the Somogyi Effect is vs Dawn Phenomenon

Oral medications

Which oral antidiabetic agent can accumulate to toxic levels with renal impairment?

What else can cause it to accumulate to toxic levels?

What can occur when the drug rises to toxic levels?

What would it look like?

Which oral and injectable antidiabetic agents are most likely to cause hypoglycemia?

Why?

Should patients be monitored for hypoglycemia even if they aren’t on these drugs?

What would you see in a patient who is having an adverse effect from pioglitazone (Actos)?

What medications are hormone related (help the body’s natural response to glucose)?

What do these hormones do?

Answer 1

Answer: The function of the insulin is to maintain the blood glucose level in the body.

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