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Test insulin & oral

rapid acting meds lispro (humalog), aspart (novolog), glulisine (apidra)
rapid acting onset 15 minutes
rapid acting peak 60- 90 minutes
rapid acting duration 3-4 hours
Short acting onset 30 minutes - 1 hr
Short acting peak 2-3 hrs
Short acting duration 3- 6 hrs
Short acting meds humalin R, Novolin R, ReliOn R
Intermediate acting meds humalin N, Novolin N, ReliOn N
Intermediate acting onset 2-4 hrs
Intermediate acting peak 4-10 hrs
Intermediate acting duration 10-16 hrs
Long acting meds Lantus, Levemir
Long acting onset 1-2 hrs
Long acting peak None
Long acting Duration 24 hrs
1 mL of insulin contains 100 units of insulin
Problems with insulin therapy Hypoglycemia Allergic reaction,Lipodystrophy (atrophy of SQ tissue),Somogyi effect,Dawn phenomenon
Somogyi effect Rebound effect in which an overdose of insulin causes hypoglycemia- Usually during hours of sleep
dawn phenomenon Characterized by hyperglycemia present on awakening in the morning due to release of counter-regulatory hormones in predawn hours (common in teens coz of growth hormones).
Created by: myrn2011