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Adult Health - Diabetes
Queens University, Charlotte, NC. Lemone: Chapter 20
16
Nursing
Not Applicable
06/07/2012

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Cards

Term
Lispro
Definition
Rapid acting
O: 0-15 minutes
P: 60-90 minutes
D: 3-4 hours
Term
Aspart (NovoLog)
Definition
Rapid acting
O: 0-15 minutes
P: 40-50 minutes
D: 3-5 hours
Term
Glulisine (Apidra)
Definition
Rapid Acting
O: 0-15 minutes
P: 60-90 minutes
D: 3-5 hours
Term
Regular Insulin
Novolin - R
Humulin - R
Definition
Short acting
O: 30-60 minutes
P: 2-3 hours
D: 4-6 hours
Term
NPH
Humilin (N) NPH
Definition
Intermediate acting
O: 2 hours
P: 6-8 hours
D: 12-16 hours
Term
detemir (Levemir)
Definition
Long acting
Onset and peak, not defined
D: 17-24 hours
Term
glargine (Lantus)
Definition
Long acting
Onset and peak, not defined
D: 24 hours
Term
Humulin 50/50
Definition
Combo
O: 30 minutes
P: 3 hours
D: 22-24 hours
Term
Humulin 70/30
Novolin 70/30
Definition
Combo
O: 30 minutes
P: 4-8 hours
D: 24 hours
Term
Sulfonylureas
Definition
Stimulate the pancreas to produce more insulin
Side effects: Hypoglycemia
*Glimepiride (Amaryl)
*Glipizide (Glucotrol, Glucotrol XL)
*Glyburide (Diabeta, Micronase)
Term
D-Phenylalanine (Amino Acid) Derivative
Definition
Stimulates rapid and short insulin secretion from the beta cells to decrease spikes in glucose after meals.
Side effects: N/V/D, joint pain and flu-like symptoms.
Repaglinide (Prandin)
Nateglinide (Starlix)
Term
Biguanides
Definition
Decreases overproduction of glucose by the liver. Not suggested for patients with renal issues.
Side effects: Abdominal pain, nausea, diarrhea
Metformin (Glucophage)
Term
Thiazolidinedione (TZD)
Definition
Helps the body more effectively utilize the insulin it is producing
Side effects: Low Hgb/Hct, edema (do NOT give to CHF patient)
Avandia
Term
DPP-4 Inhibitors
Definition
Degrades incretin hormones (think intestine) causing more stable blood glucose
Side effects: headache, nasopharyngitis, UTI
Sitagliptin (Januvia)
Saxagliptin (Onglyza)
Term
Lente
Definition
Intermediate
O: 2-4 hours
P: 8-10 hours
D: 12-16 hours
Term
Diabetes drugs that can be mixed
Definition
You can mix RAPID with intermediate
You can mix REGULAR with intermediate
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