Diabetes Management

 

Normal Blood Sugar

 

4-6 mmol/l

 

Hypoglycemia

 

<4mmol/L

 

  • pallor

  • cool, moist skin

  • anxiety

  • restlessness

  • tingling in hands, feet tongue

  • confusion

  • drowsy

  • nausea

 

Hyperglycemia

 

>7mmol/L

 

  • drowsy

  • confused

  • dry skin

  • nausea

  • headache

  • vomiting

Common Types of Insulin

 

Humulin R

Toronto

Short-acting

Humulin N

NPH

Intermediate

Glargine/LantusLong-acting

onset 30-60 min

peak: 15-30min

duration 30-60 min

Onset:1-2h

Peak:4-12h

Duration:18-24h

Onset:3-4h

Peak:none

Duration: 24h

  • administered 30 prior to the first meal of the day

  • a second dose may be given before the evening meal or @ HS

  • may only be given Sub Q

  • may be given IV or subcutaneously

Do not mix

 

Glargine/

Lantus

Long-acting

Onset:3-4h

Peak:none

Duration: 24h

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