💉 INSULIN TYPES

Question 1

💉 RAPID-ACTING – LISPRO (Humalog)

Answer 1

Onset: 15 min Peak: 1 hr Duration: 3 hr
🍽️ Give with food (eat within 15 min).
Tagalog: Mabilis ang tama — kumain agad para iwas hypoglycemia.
Tip: “Lispro = Lightning fast.”

Question 2

💉 SHORT-ACTING – REGULAR (Humulin R)

Answer 2

Onset: 30–60 min Peak: 2–4 hr Duration: 5–8 hr
🍽️ Give 30 min before meals.
Tagalog: Regular = Before meal.
Tip: Only insulin for IV use.

Question 3

💉 INTERMEDIATE – NPH (Humulin N)

Answer 3

Onset: 1–2 hr Peak: 6–12 hr Duration: 18–24 hr
🍽️ Give twice daily (breakfast & dinner).
Tagalog: May cloudy vial, roll gently.
Tip: Peak = noon → mag-meryenda.

Question 4

💉 LONG-ACTING – GLARGINE (Lantus)

Answer 4

Onset: 1 hr Peak: None Duration: 24 hr
🕒 Once daily, same time.
Tagalog: Long and steady — no mix, no peak.

Question 5

💉 Q: Which insulin types can be mixed together in one syringe?

Answer 5

Regular (Short-acting) insulin can be mixed with NPH (Intermediate-acting) insulin in the same syringe.

💬 Tagalog Explanation:
Pwede pagsamahin ang Regular at NPH insulin sa iisang syringe — basta’t tama ang order ng paghahalo.
Una ang malinaw bago ang malabo.

🧪 Mixing Order (ATI/NCLEX Rule):
1️⃣ “Clear before Cloudy.”
2️⃣ Draw Regular (clear) insulin first.
3️⃣ Then draw NPH (cloudy) insulin second.