Insulin

• Insulin 


  Indicated in Type 1 DM
• Insulin

  Indicated in Type 2 DM when diet and weight control are ineffective to maintain blood glucose levels.
• Regular Insulin is the only insulin that can be administered intravenously in the emergency treatment of diabetic ketoacidosis.
• Insulin

  Onset - initial effect
• Insulin

  Peak - hypoglycemia; give food
• Insulin

  Duration - total effect
• Rapid Acting Insulin - Lispro, Novolog 


  "15 minutes feels like an hour during 3 rapid responses"
• Short Acting Insulin - Regular "R"


  "Short staffed nurses went from 30 patients 2 (to) 8 patients"
• Intermediate Acting Insulin - NPH


  "Nurses Play Hero 2 (to) eight 16 years olds"
• Long-Acting Insulin - Lantus, Levemir 


  "Two long nursing shift never peaked but lasted 24 hours"
• Regular Acting Insulin

  Onset: 15 minutes

  Peak: 1 hour

  Duration: 3 hours
• Short Acting Insulin

  Onset: 30 minutes

  Peak: 2 hour

  Duration: 8 hours
• Intermediate Acting Insulin

  Onset: 2 hours

  Peak: 8 hours

  Duration: 16 hours
• Long-Acting Insulin

  Onset: 2 hours

  Peak: None

  Duration: 24 hours