What types of insulins are usually given before meals? - ANSWER Regular and Glargine
Why is Glargine (lantus) given at bedtime? - ANSWER sugar drops overnight.
What type of insulin is sometimes given at bedtime, has the longest durations of all the insu-
lin, CANNOT be mixed with other insulins, and for elderly patients is often split into two
doses. AM and PM? - ANSWER Insulin Glargine (Lantus)
Why is a nurse concerned for a beta-blocker/insulin combination? - ANSWER Beta
blcokers can mask some of the symptoms of hypoglycemia.
What do you asses for in patient's taking beta blockers while on insulin. - ANSWER -
symptoms of hypoglycemia
-feeling shaky
-being nervous or anxious
-sweating, chills and clamminess
-irritability or impatience
-confusion
-fast heartbeat
-feeling lightheaded or dizzy
-hunger
-headache
rapid-acting insulins - ANSWER Lispro (Humalog)
1
,Onset of Lispro (rapid-acting) - ANSWER less than 15 min
Short-acting insulin - ANSWER Regular (Humulin R)
Intermediate-acting insulin - ANSWER NPH insulin (Humulin N)
Long-acting insulin - ANSWER glargine (Lantus)
detemir (Levemir)
Steps to do after a patient is hypoglycemic? - ANSWER 1. check blood sugar
2. give simple carbs
3. if unable to swollow give glucagon
4. for IV access give Dextrose D50W
How does Glipizide work? - ANSWER Lowers blood sugar by causing the pancreas to pro-
duce insulin, needed to break down sugar in the body and helping the body use insulin effi-
ciently.
How to diagnose Diabetes type 2? - ANSWER - no end organ damage
-less than five years
What classification is Glipizide? - ANSWER -anti-diabetic
-oral hypoglycemic
What are the side/adverse effects of Glipizide? - ANSWER diarrhea
constipation
headache
2
, hypoglycemia
nausea
vomiting
upset stomach
loss of appetite
weight gain
Contraindications of Glipizide? - ANSWER low blood sugar
piturtary hormone deficiency
Addison's disease
hepatic porphyria
hemolytic anemia
alcoholic
drug-drug interactionsof Glipizide? - ANSWER allergy to sulfa
drug-food interactions of Glipizide? - ANSWER take with breakfast
How does Metformin work? - ANSWER reducing the amount of sugar the liver releases
into the blood
makes the body respond better to insulin
What classifications is Metformin? - ANSWER anti-diabetic
oral hypoglycemia
WHat are the side/adverse effects of Metformin? - ANSWER hypoglycemia
can be harsh on kidneys
3
Why is Glargine (lantus) given at bedtime? - ANSWER sugar drops overnight.
What type of insulin is sometimes given at bedtime, has the longest durations of all the insu-
lin, CANNOT be mixed with other insulins, and for elderly patients is often split into two
doses. AM and PM? - ANSWER Insulin Glargine (Lantus)
Why is a nurse concerned for a beta-blocker/insulin combination? - ANSWER Beta
blcokers can mask some of the symptoms of hypoglycemia.
What do you asses for in patient's taking beta blockers while on insulin. - ANSWER -
symptoms of hypoglycemia
-feeling shaky
-being nervous or anxious
-sweating, chills and clamminess
-irritability or impatience
-confusion
-fast heartbeat
-feeling lightheaded or dizzy
-hunger
-headache
rapid-acting insulins - ANSWER Lispro (Humalog)
1
,Onset of Lispro (rapid-acting) - ANSWER less than 15 min
Short-acting insulin - ANSWER Regular (Humulin R)
Intermediate-acting insulin - ANSWER NPH insulin (Humulin N)
Long-acting insulin - ANSWER glargine (Lantus)
detemir (Levemir)
Steps to do after a patient is hypoglycemic? - ANSWER 1. check blood sugar
2. give simple carbs
3. if unable to swollow give glucagon
4. for IV access give Dextrose D50W
How does Glipizide work? - ANSWER Lowers blood sugar by causing the pancreas to pro-
duce insulin, needed to break down sugar in the body and helping the body use insulin effi-
ciently.
How to diagnose Diabetes type 2? - ANSWER - no end organ damage
-less than five years
What classification is Glipizide? - ANSWER -anti-diabetic
-oral hypoglycemic
What are the side/adverse effects of Glipizide? - ANSWER diarrhea
constipation
headache
2
, hypoglycemia
nausea
vomiting
upset stomach
loss of appetite
weight gain
Contraindications of Glipizide? - ANSWER low blood sugar
piturtary hormone deficiency
Addison's disease
hepatic porphyria
hemolytic anemia
alcoholic
drug-drug interactionsof Glipizide? - ANSWER allergy to sulfa
drug-food interactions of Glipizide? - ANSWER take with breakfast
How does Metformin work? - ANSWER reducing the amount of sugar the liver releases
into the blood
makes the body respond better to insulin
What classifications is Metformin? - ANSWER anti-diabetic
oral hypoglycemia
WHat are the side/adverse effects of Metformin? - ANSWER hypoglycemia
can be harsh on kidneys
3
