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Anologue Basal Insulin

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1. Anologue Basal Insulin

Anologue Basal Insulin Anologue Basal Insulin Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Anologue Basal Insulin Anologue Basal (...) Insulin Aka: Anologue Basal Insulin , Insulin Glargine , Glargine , Lantus , Levemir , Detemir , Toujeo , Insulin Degludec , Tresiba , Basaglar From Related Chapters II. Precautions in the U.S. has become unconscionably expensive Consider (still $25 per vial at Walmart as of 2016) for basal control instead Basal does not cover meal times Use in combination with agents to cover meals Rapid acting (e.g. ) Oral agents ( s, , ) or Switch to basal/bolus when Glargine >0.5 units/kg III. Preparations Insulin

2018 FP Notebook

2. Anologue Basal Insulin

Anologue Basal Insulin Anologue Basal Insulin Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Anologue Basal Insulin Anologue Basal (...) Insulin Aka: Anologue Basal Insulin , Insulin Glargine , Glargine , Lantus , Levemir , Detemir , Toujeo , Insulin Degludec , Tresiba , Basaglar From Related Chapters II. Precautions in the U.S. has become unconscionably expensive Consider (still $25 per vial at Walmart as of 2016) for basal control instead Basal does not cover meal times Use in combination with agents to cover meals Rapid acting (e.g. ) Oral agents ( s, , ) or Switch to basal/bolus when Glargine >0.5 units/kg III. Preparations Insulin

2015 FP Notebook

3. Insulin

an inch of skin at the injection site Hold needle in place for 5-10 seconds after injection to prevent leakage of Insulin Rotate injection sites to prevent lipohypertrophy (see adverse effects below) III. Preparations: Insulin Selection New Insulin anologues are preferred More consistent absorption than traditional Insulin Bolus analogues have more rapid onset Basal agents release at more constant rate New anologues are however 10 fold more expensive than Regular Insulin and NPH Vials of NPH (...) 50 units per 0.5 ml syringe Insulin100 units per 1 ml syringe References (2014) Presc Lett 22(1): 4 V. Preparations: Insulin Pens Supplied Insulin Pens are supplied in boxes of 5 pens each containing 3 ml at 100 units Insulin per ml Precautions Insulin Pens appear similar to one another despite containing different Insulins (basal or bolus) Read each syringe carefully (and note its color) prior to each injection to prevent errors Prepare cloudy Insulins (e.g. NPH) by gently rolling and inverting

2018 FP Notebook

4. Insulin

an inch of skin at the injection site Hold needle in place for 5-10 seconds after injection to prevent leakage of Insulin Rotate injection sites to prevent lipohypertrophy (see adverse effects below) III. Preparations: Insulin Selection New Insulin anologues are preferred More consistent absorption than traditional Insulin Bolus analogues have more rapid onset Basal agents release at more constant rate New anologues are however 10 fold more expensive than Regular Insulin and NPH Vials of NPH (...) 50 units per 0.5 ml syringe Insulin100 units per 1 ml syringe References (2014) Presc Lett 22(1): 4 V. Preparations: Insulin Pens Supplied Insulin Pens are supplied in boxes of 5 pens each containing 3 ml at 100 units Insulin per ml Precautions Insulin Pens appear similar to one another despite containing different Insulins (basal or bolus) Read each syringe carefully (and note its color) prior to each injection to prevent errors Prepare cloudy Insulins (e.g. NPH) by gently rolling and inverting

2015 FP Notebook

5. Management of diabetes

treatment regimen for adults with type 1 diabetes should include either regular human or rapid-acting insulin analogues. B Basal insulin analogues are recommended in adults with type 1 diabetes who are experiencing severe or nocturnal hypoglycaemia and who are using an intensified insulin regimen. Adults with type 1 diabetes who are not experiencing severe or nocturnal hypoglycaemia may use basal anologues or NPH insulin. B Children and adolescents may use either insulin analogues (rapid-acting (...) and basal), regular human insulin and NPH preparations or an appropriate combination of these. C The insulin regimen should be tailored to the individual child to achieve the best possible glycaemic control without disabling hypoglycaemia. A CSII therapy is associated with modest improvements in glycaemic control and should be considered for patients unable to achieve their glycaemic targets. B CSII therapy should be considered in patients who experience recurring episodes of severe hypoglycaemia

2010 SIGN

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