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Ch. 34: Insulins

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Question
Answer
pt populatins where in sulin is used?   those with Type II diabetes for whom oral meds and diet are not effective, hospitalized patients who have transient hyperglycemia, all type I diabetic patients.  
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this is "regular insulin"   crystalline zinc insulin. it effectively reduces glucose levels in 30-60 minutes. peak action is 1-2 hrs, with duration of about seven hrs. fast acting  
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cateogory of CZI?   short or rapid acting  
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another rapid acting insulin?   insulin lispro, with an onset of action of 15-30 minutes. insulin glkulisine has an onset of 20-25 minutes.  
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what is an intermediate acting insulin?   Lente. NPH has about hte same profile of onset.  
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long acting insulin   ultralente, made of large particles that are slow to dissolve, yielding a slow onset of action and longer duration. insuling glargine is also long acting, along with protamine zinc insulin.  
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this is a long acting insulin with a flat action profile, so there is not peak or touhg. works for up to 23 hours   insulin detemir.  
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