Eating Ice Cream alone in the dark
No insulin production
usually present in childhood or under 10
Main treatment is insulin
Type 1 Diabetes
What is the largest country in the world based on the land area?
Russia
Short Duration
Rapid Acting
1. name 2
2. when is it usually given
3. Can it be mixed, if so with what?
1. Insulin Aspart (novolog)
1. Insulin Lispro
2. Before meals
3. Yes, NPH
Metformin
Usually given to Type 1 or 2 diabetic
Risk of lactic acidosis
MOA: Decreases glucose release from the liver
2
prescribed for diabetes when diet and exercise alone have not been enough to control your blood sugar levels.
Develops quickly, sweet/fruity breath
Fatal if not treated
DKA
Diabetic Ketoacidosis
Optimal range is below 6.5
A1C
When taken up by this organ, I destroy it, well, I destroy the cells I enter.
What am I?
What am I used for?
Radioactive Iodine
Hyperthyroidism
Long Duration
Given 1x before bed (usually)
1. name
2. Can it be mixed?
Insulin Glargine (lantus)
No
https://globalrph.com/medcalcs/insulin-mixing-tool-compatibility-questions-answered/
I end in Pam/Lam
Benzodiazepines
Corticosteroids can be broken into 2 groups
What are they
Glucocorticoids
Mineralcocorticoids
Frasier
Extremely high BS
Develops slowly, leads to dehydration
Fatal if not treated
HHS
Hyperosmolar Hyperglycemic State
Short duration : Slower acting
1. name
2. when is it usually given
3. Can it be mixed, if so with what?
Regular insulin (novolin R)
Given before meals
Yes, can be mixed with NPH
I am given usually to type 2 diabetics, I am not insulin. I increase the risk of hypoglycemia
I work by asking the kidneys to secrete more insulin
1. What is wrong with this scenario?
2. What drug?
Kidneys are wrong --> Pancreas
Glipizide
I am the most reliable way to assess/measure a patient's diabetic control
1. Name of test (2 names)
A1C
Glycosylated hemoglobin level
Impaired insulin secretion
Insulin resistance
Genetic / weight / lifestyle causes
Long term macro/micro vascular damage
Type 2 Diabetes
I feel: Shaky, Dizzy, Sweaty, Hungry, Tachy, Irritable, Confused
I could be diabetic but don't have to be.
What am I experiencing?
Hypoglycemia
1. Is this ok?
Yes
I require an eye exam before starting
You may have heard about me during early stages of Covid
hydroxychloroquine
My fasting glucose is 103
What am I
Pre-diabetic
Optimum Range for someone with severe hypoglycemia?
1. #
2. Why is it different?
8
Someone with severe hypoglycemia experiences too many instances of low blood sugar. So we allow their blood sugar to remain higher than normal to prevent hypoglycemia.
Long term control is ideal.
Long term consequences include eye, kidney and nerve damage.
What disease am I?
Diabetes
We want to minimize damage, so we treat them and try to keep their BS stable.
Intermediate duration
Cloudy in appearance
1. name
2. when is it usually given
3. Can it be mixed, if so with what?
1. NHP
2. 2x daily, controls BS between meals
3. Yes, with rapid or regular
My blood sugar is 321 mg/dL this morning
Time to eat breakfast. Sliding scale states I need 15 extra units of?
1. What type of insulin will I use?
2. Name one
Short or rapid acting
Lispro
I have highly specific receptors to antigens on my surface
T Helper Cells