All you Need to Know About Insulin
DM1 Vs, DM 2
Signs & Symptoms
DKA Vs HHNKS
Dx & Treatment
100

Nurses follow the "clear to cloudy rule" when they

What is draw regular or rapid acting insulin (clear) before NPH insulin (cloudy) into the syringe. This prevents contamination of the fast-acting insulin with the slower-acting NPH, ensuring each type maintains its unique properties. 

100

Type 1 Diabetes Mellitus  is caused by __________ and Type 2 Diabetes Mellitus  is caused by _________

and_________,

Type 1 is an autoimmune condition where the body doesn't produce insulin, while Type 2 is caused by Insulin resistance and insufficient insulin production.

100

The  classic signs and symptoms of Diabetes Mellitus include _______, _________, _________

What are polyuria, polydipsia and polyphagia. 



100

DKA typically occurs in this type of DM

What is Type 1 DM

100

For most people with DM the HbA1c goal is 

What is 7% or less?

200

This type of insulin begins working within 15 - 30 mins and peaks in 1-2 hours.

What is Rapid acting insulin? (Lispro, Aspart)

200

The onset of Diabetes Mellitus Type 1 begins

________ and Type 2 Diabetes Mellitus begins

What is childhood and typically adulthood, but can occur at any age 

200

This type of DM can develop in just a few weeks or months and can be severe. 

What is Type 1 DM?

200

In DKA and HHNKS both have this symptom

What is hyperglycemia

200

The Gold Standard for managing DM 

What is HbA1c?

300

This type of insulin begins working  within 30min - 1hour and peaks 3-6 hours

What is short-Acting insulin (Regular insulin)?

300

The treatment for Diabetes Mellitus Type 1 includes_________, ________, _________ and the treatment for Type 2 The treatment for Diabetes Mellitus 2 includes _______, _________, __________, ____________,

__________

What is diet and life long insulin therapy and exercise. 

What is weight loss, diet, exercise, oral antidiabetic medications  and insulin if needed.

300

This type of DM can take years to develop. 

What is Type 2 Diabetes Mellitus

300

In DKA this type of insulin is given IV 

What is regular insulin?

300

The first drug of choice for treating Type 2 DM 

What is Metformin a biguanide?

400

This type of insulin begins to work in 2-4 hours and peaks 8-10 hours.

What is Intermediate- Acting insulin (NPH)

400

The risk factors for developing Type 1 Diabetes Mellitus include ________, ___________, _________, ___________

What is 

an autoimmune reaction, 

family history: Having a parent, brother, or sister with type 1 diabetes, 

Age

In the USA, Caucasians  are more likely to develop type 1 diabetes than African American and Hispanic or Latino people.

400

This type of DM usually has no noticeable symptoms

What is gestational DM?

400

HHNKS is characterized by

What are hyperglycemia, dehydration and no ketones in the urine or in the breath, mental status chages

400

Besides, antidiabetic medications  and insulin when necessary for treating Type 2 DM, there are other strategies to mange blood glucose and include 

What are diet, exercise, weight loss if needed  and smoking cessation

500

Insulin injections are rotated after every injection  to prevent

Lipohypertrophy (lumps of fat tissue under the skin)

500

This risk factors for developing Type 2 Diabetes Mellitus are ________,__________,________,

_________, ___________, _________, ___________ 

What are 

  • Overweight or obesity.
  • Age 45 or older.
  • Have a parent or sibling with type 2 diabetes.
  • Physically active less than 3 times a week.
  • Have non-alcoholic fatty liver disease (NAFLD).
  • Have ever had gestational diabetes or given birth to a baby who weighed over 9 pounds.
  • Are an African American, Hispanic or Latino, American Indian, or Alaska Native person. Some Pacific Islander people and Asian American people also have a higher risk.
500

Besides the classic signs and symptoms of DM other symptoms include

What are weight loss, hunger, blurred vision, numbness or tingling of hands or feet, fatigue, dry skin, sores that heal slowly and, more infections than usual. 

500

DKA is characterized by 

What is Hyperglycemia, metabolic acidosis, Kussmaul respirations, ketones in the urine, abdominal pain and mental status changes

500

The diagnostic criteria for DM includes

What are a fasting plasma glucose of 126 mg/dL or higher x 2

 2-hour plasma glucose of 200 mg/dL or higher 

 During an oral glucose tolerance test  a random plasma glucose of 200 mg/dL or higher with classic symptoms 

HbA1c level of 6.5% or higher

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