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Outline
Generic Name
Insulin detemir, Insulin glargine
Trade Name
Levemir, Lantus
Indication
hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis
Action
stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver,
prevents breakdown of fat and protein
| Route | Onset | Peak | Duration |
| Detemir | 3-4 hr | 3-14 hr | 24 hr |
| Glargine | 3-4 hr | none | 24 hr |
Therapeutic Class
antidiabetics, hormones
Pharmacologic Class
pancreatics
Nursing Considerations
• assess for symptoms of hypoglycemia or hyperglycemia
• monitor body weight over time
• may cause decreased inorganic phosphates, potassium, and magnesium
• monitor blood sugars every 6 hours, monitor A1C every 3-6 months
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Transcript
Let's take a look at a few nursing considerations for long-acting insulin. Remember to assess for symptoms of hypoglycemia and hyperglycemia. Monitor the patient's body weight as insulin given over time can increase this. Long-acting insulin may cause decreased inorganic phosphates, potassium, and magnesium levels. Be sure to teach the patient that blood sugar must be monitored. And hemoglobin A1C must be checked every three to six months. So guys with insulin detemir, the peak is between three to 14 hours with the duration of 24 hours, and insulin glargine is said to actually not have a peak. And its duration is all 24 hours. Insulin detemir is the only insulin that has been shown to decrease the weight of a patient; however, the decreases are pretty small. That's it for long-acting insulin or Lantus. Now go out and be your best self today. And as always happy nursing.
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