Insulin

Card Set Information

Author:
blanchetteval
ID:
188652
Filename:
Insulin
Updated:
2012-12-11 00:21:46
Tags:
Diabetes Insulin
Folders:

Description:
Diabetes- Insulin
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user blanchetteval on FreezingBlue Flashcards. What would you like to do?


  1. Sulfonylureas- brands
    • 1st gen- Orinase, Diabinese
    • 2nd gen- Glucotrol, Micronase, Amaryl
  2. Sulfonylureas- description
    • Oral Agent
    • *Stimulates insulin secretion from beta cells.
    • Decrease the secretion of glucagon.
    • Increases sensitivity to insulin.
    • Decreases glycogenosis and gluconeogenesis.
    • Can be used with Metformin or thiazolidinediones.
  3. Meglitinides- brands
    Starlix, Prandin
  4. Meglitinides- description
    • Oral Agent
    • Stimulates insulin secretion from beta cells.
    • Must take within 15-30 minutes of a meal.
    • Can be used with Metformin and thiazolidinedoines.
  5. Biguandines- brands
    Metformin, Glucophage
  6. Biguandines- description
    • Oral Agent
    • Decreases/inhibits liver glucose production.
    • Improves tissue sensitivity to insulin.
    • Improves glucose uptake by tissues, especially muscles.
    • Improves insulin action.
    • Also used for prevention in prediabetes.
    • Most commonly used OA for Type 2. **First choice drug.
  7. a-glucosidase inhibitors- brands
    Precose, Glyset
  8. a-glucosidase inhibitors- description
    • Oral Agent
    • Blocks digestion of starches.
    • Blocks conversion of carbs to glucose.
    • Starch blocker.
    • Taken with first bite of food.
    • Most effective at lowering post-prandial blood glucose.
  9. Thiazolidinediones- brands
    Avandia, Actos
  10. Thiazolidinediones- description
    • Oral Agents
    • Improves insulin sensitivity, transport, and utilization at target tissues.
    • Decreases insulin resistance by increasing glucose uptake in muscles (making muscle and adipose tissue more sensitive to insulin).
    • Decreases insulin production.
    • Most effective drug for people w/ insulin resistance.
  11. DPP-4-Inhibitors- brands
    Saxagliptin, Stagliptin, Januvia
  12. DPP-4-Inhibitors- description
    • Oral Agents
    • Increases incretin system.¬†
    • Increases release of insulin.
    • Decreases glucagon secretion from beta cells by enhancing the incretin system.
    • Decreases glucose production from liver.
    • Decreases gastric emptying.
    • **Absence of weight gain as a side effect.
  13. Insulin locations-
    Fastest to slowest
    Abdomen, Deltoid, Thigh, Buttocks
  14. Rapid Acting Insulin-
    brands
    • Lispro/ Humalog
    • Aspart/ Novalog
    • Glulisine/ Apidra
  15. Rapid Acting Insulin-
    onset
    10-15 minutes
  16. Rapid Acting Insulin-
    peak
    30-90 minutes
  17. Rapid Acting Insulin-
    duration
    2-5 hours
  18. Rapid Acting Insulin-
    description
    • Must eat within 15 minutes.
    • Clear
  19. Short Acting Insulin-
    brands
    • (Regular)
    • Humulin R
    • Novolin R
  20. Short Acting Insulin-
    onset
    • IV- 10-30 minutes
    • SubQ- 30-60 minutes
  21. Short Acting Insulin-
    peak
    • IV- 15-30 minutes
    • SubQ- 2-4 hours
  22. Short Acting Insulin-
    duration
    • IV- 30-60 minutes
    • SubQ- 3-6 hours
  23. Short Acting Insulin-
    description
    • Clear.
    • Only insulin that can be given by IV.
    • Given for DKA, HHNS.
    • Must eat within 15-30 minutes
    • May be combined with intermediate acting insulin for long term control.
    • Is type of insulin used when sliding scale is ordered.
  24. Intermediate Acting Insulin-
    brands
    • NPH Insulin (Neutral Protamine Hagedorn)
    • Humulin N, Novolin N
  25. Intermediate Acting Insulin-
    onset
    2-4 hours
  26. Intermediate Acting Insulin-
    peak
    4-14 hours
  27. Intermediate Acting Insulin-
    duration
    • 10-16 hours
    • 16-24 hours
  28. Intermediate Acting Insulin-
    description
    • Cloudy.
    • Commonly used for long term administration.
  29. Long Acting Insulin-
    brands
    Glargine/ Lantus
  30. Long Acting Insulin-
    onset
    1-4 hours
  31. Long Acting Insulin-
    peak
    No peak
  32. Long Acting Insulin-
    duration
    24 hours
  33. Long Acting Insulin-
    description
    • Mimics natural basal insulin release.
    • Although clear, cannot be mixed with any other isulin.
    • Reduces the risk of hypoglycemia.

What would you like to do?

Home > Flashcards > Print Preview