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DM Insulins
Insulin types and charisteristics
| Question | Answer |
|---|---|
| What is Lispro (HumalogTM)? | Rapid acting, works <15 minutes, peaks 0.5-3 hours, duration 3-5 hours. |
| What is Aspart (NovologTM)? | Rapid acting, works <15 minutes, peaks 0.5-3 hours, duration 3-5 hours. |
| What is Glulisine (ApidraTM)? | Rapid acting, works <15 minutes, peaks 0.5-3 hours, duration 3-5 hours. |
| What is Regular (Novolin RTM or Humulin RTM)? | Short acting, works 0.5-1 hour, peaks 2-4 hours, duration 4-8 hours. |
| What is NPH (Novolin NTM or Humulin NTM)? | Intermediate acting, works 2-4 hours, peaks 4-10 hours, duration 10-18 hours. |
| What is Glargine (LantusTM)? | Long acting, works 4-6 hours, Same action throughout the day, duration 24 hours. |
| What is Detemir (LevemirTM)? | Long acting, works 2-3 hours, peaks 6-8 hours, duration is dose-dependent 5.7-23.2 hours. |
| What is Humulin or Novolin 70/30 made of? | 70% NPH +30% regular insulin. Insulin action includes 2 peaks (1 from each formulation). |
| What is Humulin or Novolin 70/30? | Combination, works 0.5-1 hour, peaks 2-10 hours, duration 10-18 hours. |
| What is Novolog mix 70/30 made of? | Aspart protamine 70% + Aspart 30%. Insulin action includes 2 peaks (1 from each formulation). |
| What is Novolog 70/30? | Combination, works <15 minutes, peaks 1-2 hours, duration 10-18 hours. |
| What is Humalog 75/25 made of? | 75/25=75% Lispro protamine + 25% Lispro. Insulin action includes 2 peaks (1 from each formulation). |
| What is Humalog 75/25? | Combination, works <15 minutes, peaks 1-2 hours, duration 10-18 hours. |
| What is Humalog 50/50 made of? | 50/50=50% Lispro protamine + 50% Lispro. Insulin action includes 2 peaks (1 from each formulation). |
| What is Humalog 50/50? | Combination, works <15 minutes, peaks 1-2 hours, duration 10-18 hours. |
| How should rapid acting insulin and NPH be mixed? | If mixing with NPH, rapid acting insulin should be drawn into syringe first. Mixture should be given immediately to avoid effects on peak action. |
| How should regular insulin and NPH be mixed? | May be mixed with NPH in same syringe. Mixing order should be the clear regular drawn up first, then the cloudy NPH (ie “clear to cloudy”). |
| How should Glargine (LantusTM) be mixed? | It should not be mixed. |
| How should Detemir (LevemirTM) be mixed? | It should not be mixed. |