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ALL ABOUT INSULIN

RAPID-ACTING SHORT-ACTING INTERMEDIATE-ACTING LONG-ACTING
1. Aspart AKA: Regular Insulin AKA: NPH KEY: NO PEAK
THINK: “Move your
KEY: This is the ONLY KEY: If given with • CAN’T BE MIXED
Ass” Ass-part WITH OTHER
insulin type given IV regular insulin, draw up:
2. Lispro route clear-to-cloudy INSULIN!
THINK: “Let’s go!!” 1. Detrimir
• Can be given with NPH THINK: R-N Regular
Lispro THINK: “Lasts all year”
at the same time in the before NPH (clear before
3. Glulisine cloudy) lasts a long time
same syringe
THINK: Glue dries fast • Can be given with 2. Lantus
• Given 2x/day
long-acting at the same THINK: “Lantern”
Onset: 15 MIN! time in a different lanterns burn for a long
Peak: 30-90 minutes syringe time
Duration: 3-5 hours 3. Glargine
Onset: 30-60 minutes THINK: “Large” lasts
Peak: 2-4 hours for a large amount of
Duration: 5-8 hours time
Onset: 60-120 minutes
Peak: 4-12 hours
Duration: 14 hours
(hence, given 2x/day) Onset: 60-120 minutes
WHEN DO YOU EAT? Peak: NO PEAK
Duration: 24 hours
1. Rapid-acting: Covers insulin needs for meals eaten at the same time
of injection
2. Short-acting (Regular): Covers insulin needs for meals eaten within
REMEMBER
30-60 minutes of injection TYPE 1: YOU HAVE
3. Intermediate-acting (NPH): Covers insulin needs for half the day NONE
or overnight; typically given morning and night • NO insulin being produced
4. Long-acting: Covers insulin needs for the full day; can be combined • Patients will need insulin!
with other insulin but never mixed TYPE 2: THE PROBLEM
IS YOU
RULES OF INSULIN • Encourage healthy diet and
exercise
• Watch for signs and symptoms of hypoglycemia shaky, clammy,
pale, sweaty • Potential oral medication
o THINK: “Cool and clammy, give me candy” use
o IF AWAKE: Ask the patient to eat (candy, juice, low fat milk) • Insulin (last resort)
o IF UNCONSCIOUS: 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
• Always increase insulin with: (glucose with any type of stress) INSULIN PUMP
o Stress • Give a steady dose of insulin for
o Sepsis Type 1 DM
o Sickness • Check BG 4x/day
o Steroids • Push bolus at meals
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