Diabetes

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What tipe of insuline is Humalog? (onset, peak, duration)

Fast acting (anagloues)os 5-15min, peak 30-90 duration 3-5
What tipe of insuline is Novorapid? (onset, peak, duration)

Fast acting (anagloues)os 5-15min, peak 30-90 duration 3-5
What tipe of insuline is Actrapid? (onset, peak, duration)

Short acting (soluble)os 30-60 peak 2-3 duration 5-8hr
What tipe of insuline is Humalin S? (onset, peak, duration)

Short acting (soluble)os 30-60 peak 2-3 duration 5-8hr
What tipe of insuline is Insultard? (onset, peak, duration)

Isophane acting (soluble)os 2-4hr peak 4-10 duration 10-16hr
What tipe of insuline is Humalog I? (onset, peak, duration)

Isophane acting (soluble)os 2-4hr peak 4-10 duration 10-16hr
What tipe of insuline is Lantus? (onset, peak, duration)

Long acting (soluble)os 2-4hr peak no peak duration 16-24
What tipe of insuline is Levemir? (onset, peak, duration)

Long acting (soluble)os 2-4hr peak no peak duration 16-24
Diagnosis of DKA is based on:
- Signifigant Ketonuria (>++) or blood ketones >3mmol/l
- Blood Glucose >11mmol/l or known DM
- Bicarbonate <15mmol/l venous ph <7.3
Rx for IV insuline infusion is

50 units of soluble insuline made up to 50mls in 0.9% N Saline
DKA inital bm/ketone monitering regime

hourly first 6 hrs
Aim to reduce Ketones and Glucose by what per hr
- ketones 0.5mmol/hr
- BM 3mmol/hr