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Rapid Acting Insulins
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Lispro= humalog
Aspart= novolog |
Rapid Acting Insulin
Onset of action peak action duration of action |
Onset= 5-15 minutes for both
peak= lispro: 1 hr; aspart: 40-50 minutes duration= lispro: 3hr; aspart: 4-6 hr |
Time for adverse reaction
Rapid Acting Insulin |
Midmorning; trembling and weakness
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Characteristics of
Rapid Acting Insulin |
Pt should eat within 5-15 minutes after injection; its also used in insulin pumps
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Short acting Insulin
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Regular Insulin (Humalin R, Novolin R, Iletin II Regular)
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Short Acting Insulin
Onset of action peak action duration of action |
Onset= 30-60 mins
peak= 2-3 hr duration= 4-6 hr |
Time of Adverse Reaction
Short Acting Insulin |
Midmorning
Midafternoon= weakness and fatigue |
Characteristics of short Acting insulin
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Its a clear solution given 20-30 minutes before meals, can be given alone or with other insulins.
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Intermediate Acting Insulin
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NPH (isophane)
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Intermediate Acting Insulin
Onset of action peak action duration of action |
Onset= 2-4 hr
peak= 6-12 hr duration= 16-20 hr |
Time for adverse Reactions
intermediate Acting Insulin |
Early evening= wekaness and fatigue
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Characteristics of Intermediate Acting Insulin
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White and clloudy solution, and can be given after meals
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Long acting Insulin
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Glargine(Lantus)
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Long Acting Insulin
Onset of action peak action duration of action |
Onset= 1 hr
Peak= Continous no Peak duration= 24 hr |
Characterisitcs for long acting insulin
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Maintains blood glcose levels regardless of meals, CANNOT BE MIXED WITH OTHER INSULIN. This is given at bedtime, hours of sleep (hs)
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