Types of Insulin Studying in the Laboratory This is getting complicated Pharmacologic Middle Management Diabetes is the Theme
100
What is short acting insulin?
Bonus: Novolog, Humalog, Apidra,
Duration: 3 - 5 hours.
Peak: 30 - 90 minutes.
Bonus: name one.
100
What is hemoglobin A1C?
This lab value is the gold-standard for evaluating average blood glucose control over 3-4 months.
100
What is diabetic retinopathy?
Common presentations include: floaters, decreased visual acuity, blurry vision.
100
What is metformin?
First line therapy for DM2.
100
What is Diabetic Ketoacidosis (DKA)?
Caused by the breakdown of fatty tissues in the absence of insulin.
200
What is long acting insulin?
Bonus: Lantus, Levemir, Tresiba
Duration: 11 - 26 hours.
Peak: none, steady.
Bonus: name one.
200
What is POC/fingerstick glucose?
This test can be performed rapidly with a glucometer.
200
What is diabetic neuropathy?
Common presentations include: numbness or paresthesia of extremities, especially of feet.
200
What are sulfonylureas?
Cautious use in renal impairment. Stimulates insulin secretion from pancreas.
200
What is diabetes mellitus type one
An autoimmune condition caused by destruction of beta cells in the pancreas.
300
What is short acting insulin?
Bonus: Regular (R), novolin
Duration: 5 - 8 hours.
Peak: 2 - 5 hours.
Bonus: name one.
300
What is total cholesterol?
In addition to blood pressure control, a goal of diabetes management is to keep this bloodwork value under 200 mg/dL.
300
What are stroke and myocardial infarction?
Poor glycemic control increases risk for these two emergent events.
300
What are glucagon-like peptide 1 agonists?
Slows gastric emptying and increases satiety. Used in DM2, off-label use in DM1.
300
What is diabetes mellitus type two?
A condition caused by impaired insulin secretion and insulin resistance.
400
What is intermediate acting insulin?
Bonus: NPH (N)
Duration: 18 - 24 hours.
Peak: 4 - 12 hours.
Bonus: name one.
400
What is C-peptide?
Evaluates magnitude of endogenous insulin production by measuring serum levels of a byproduct of a specific hormones synthesis...
400
What is diabetic nephropathy?
Common presentation includes: decreased GFR, hypertension, albuminuria.
400
What are meglitinides?
Stimulates insulin secretion from the pancreas. Safe-ish to use in moderate renal impairment. Short half-life.
400
What is gestational diabetes?
Condition which increases risk of pre-eclampsia, large for gestational age, stillbirth, and neonatal hypoglycemia.
500
What is intermediate acting and short acting insulin?
Pre-mixed insulin combinations are most often composed of which two classes of insulin?
500
What is anion gap?
The equation for determining this value is: [Na] - ( [Cl] + [HCO3] ).
500
What is gastroparesis?
Common presentations include: nausea, indigestion, bloating, early satiety, heartburn, and regurgitation.
500
What are SGLT-2 inhibitors
Lower threshold for renal glucose excretion. Increased risk of candidal infections.
500
What is diabetes insipidus?
A condition caused by inadequate action of anti-diuretic hormone.






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