ALL ABOUT INSULIN

1.Aspart AKA: Regular insulin AKA: NPH KEY: NO PEAK

THINK “Move your ass”
KEY: This is the ONLY KEY: If given with *Can’t BE MIXED WITH
Ass part
insulin type given IV route regular insulin, draw up: OTHER INSULIN
2.Lispro clear- to -cloudy
*Can be given with NPH 1.Detrimir: THINK “Lasts
THINK “Let’s go!”
at the same time in the THINK: R –N REGULAR all year”
Lispro
same syringe BEFORE NPH
2.Lantus: THINK
3.Glulisine THINK *Can be given with long- (clear to cloudy) “Lanterns”
“Glue dies fast” action at the same time in
*Given 2X PER DAY (lanterns burn for a long
a different syringe
time)
Onset: 15 minutes!
Peak: 30 – 60min 3.Glargine: THINK
Duration: 3 -5 hours “Large”
Onset: 30 – 60 min
RAPID ACTIVE Peak: 2 to 4 hours (last large times)
SHORT ACTIVE Duration: 5 -8 hours Onset: 60 -120 min
INTERMIDATE ACTING Peak: 4 to 12 hours
LONG ACTING Duration: 14 hours Onset: 60 -120 min
(hence given 2x day) Peak: No peak
Duration: 24Hours
WHEN DO YOU EAT?
1.Rapid acting: Covers insulin needs for meals eaten at the same time of REMEMBER
injection. Type 1: YOU HAVE
2.Short acting (Regular): Covers insulin needs for meals eaten within 30 to 60 NONE
minutes of injection. *No insulin being
3.Intermediate-acting (NPH): Covers insulin needs for half the day or overnight; produced
typically given morning or night. *patients will need insulin.
4.Long Acting: Covers insulin needs for the full day: can be combined with
other insulin but never mixed. Type 2: THE PROBLEM
IS YOU!
*Encourage Healthy diet
RULES OF INSULIN and exercise
*Watch for signs and symptoms of hypoglycemia: shaky, clammy, pale, sweaty *Potential oral meds need
 THINK: “Cold and clammy, give me candy”
 IF AWAKE: ask the patient to eat (candy, Juice, low fat milk)
 IF UNCOUNSCIOUS: stab with IV D50
*Regular insulin: ONLY insulin given IV
*NPH: If mixed clear to cloudy (NPH is cloudy)
*Long acting: DO NOT MIX, No peak
*Rotate injection sites: Do not aspirate/massage
INSULIN PUMP
*Always increase insulin with: any type of stress
*Give a steady dose of insulin
o Stress
for Type 1
o Sepsis DM
o Sickness *Check BG 4x a day
o Steroids *Push bolus at meals