Understanding Insulin. Place letter of answer in

Understanding Insulin. Place letter of answer in this box: Statement: Answers: 1. elevated blood glucose level a. lipohypertrophy 2. breakdown of glycogen stored in liver into glucose b. glargine 3. atrophy or dimpling of the skin caused by breakdown of subcutaneous tissue related to repeated injections at the same site c. somatostatin 4. lab test to assess average glucose level over the past 2-3 months d. basal 5. hormone that moves glucose into cells and decreases blood glucose level e. hyperglycemia 6 constant production of insulin to maintain normal glucose level between meals (used to describe insulin given to manage blood sugar) f. gluconeogenesis 7. hunger, confusion, paleness, sweating skin are signs and symptoms of g. lipodystrophy 9. term associated with meals/food (used to describe insulin given specifically at mealtime to manage spikes in blood sugar related to eating) h. glycogenolysis 10. insulin without a peak i. insulin 11. formation of glycogen from fatty acids and proteins, instead of carbohydrates j. prandial 12. immediate acting insulin k. lispro 13. thickening or lipid deposits at a subcutaneous injection site l. hemoglobin A1c 14. hormone that inhibits insulin secretion m. hypoglycemia Matching: Explain why it is important to know the onset, peak and duration of insulin: This information applies to all the questions on this page: Patient goal: 100-150 Scheduled Insulin: Glargine 20 units subcutaneous every evening at 2100 Lispro 3 units before each meal if blood sugar > 100 Sliding scale: Blood glucose < 50 Give ½ amp dextrose 50% 50-70 Assess for signs and symptoms and treat accordingly 71-150 151-200 Lispro 2 units subQ 201-250 Lispro 4 units subQ 251-300 Lispro 6 units subQ Here are 3 different situations that might happen to a patient. Work through each one using the information stated above. Each of these are different situations, they do not relate to each other. Situation #1 Situation #2 Situation #3 0730: Blood glucose level is 190 before breakfast How much insulin will you administer? Glargine: ____________ Lispro: ____________ 1130 Pre-lunch blood sugar is 255 How much will you administer? Lispro: ____________ 0730 you go into check the pre breakfast blood sugar and find the patient hard to arouse. The blood sugar is 45. What do are you going to do? 1130 Pre-lunch blood sugar is 275 How much insulin will you administer? lispro: ____________ 1300 The patient reports feeling hungry and is sweating. Step by step response: These are potential signs and symptoms of: What are you going to do? The blood glucose is 69. What are you going to do? When do you recheck the blood glucose level? At 1200 the patient is wide awake, and her lunch has arrived. You check her blood sugar before she eats, and it is 145. How much insulin will you administer? Lispro: ____________ 1700 Pre-dinner blood sugar is 355 What are you going to do in response to this blood sugar?

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