1. Time Management and Insulin Administration Krysia Hudson

2. Timing Adverse Effects all boil down to timing Other Impacting Factors Exercise Time of insulin Given TYPE of insulin given Diet

3. Short Acting Insulin : Aspart Give Aspart at 7 am Onset: immediate Peak (most AE) 1-3 hour

4. Medium/Long Acting Insulin : NPH Give NPH at 7 am Onset: 1 -1.5 hrs Peak (most AE) 4 -12 hour

5. Combined Case: Regular and NPH Give NPH 5 units Sq at 7 am and 10 units regular insulin at 7am (combined nutritional and correctional dose) Onset : Regular Peak (most AE) 2-4 hr Peak NPH

6. LUNCH…Combined Case: Regular and NPH 12 noon -Patient does not eat lunch – but their BS is 200 – requiring 2 units of regular insulin Onset : Regular Peak (most AE) 2-4 hr Peak NPH? Largest Peak (combined AE?)