Diabetes/ Thyroid meds review

Rapid Acting Insulin

Lispro (humalog)

Aspart (Novolog)

Glusline (Apidra)

Onset: 10-30 mins

Peak: 30 mins - 3 hours

Duration 3 to 5 hours.

Give 30 mins before meals: 3x day w/ meals

short acting insulin

Regular Insulin:

Humulin R

Novolin R

Onset 30 to 60 minutes.

Peak 2 to 5 hours.

Duration 5 to 8 hours.

Give 30 to 60 minutes before a meal.

Only insulin may be IV.

intermediate acting

NPH 

Humulin H

Novlin R

Onset 1.5 to 4 hours. Peak 4 to 12 hours. Duration 12 to 18 hours.

Can be mixed with rapid- or short-acting insulin.

Long Acting Insulin

Glargine (Lantus)

Detemir ( Levamir)

Degludec (tresiba)

Onset 1 to 2 hours.

No peak.

Duration about 16-24 hours.

Do not mix with other insulin.

Metformin Glucophage

First line type 2 diabetes medication. Take with meals. Watch for lactic acidosis. Hold around IV contrast as instructed.

Levothyroxine Synthroid Levoxyl Levothroid

Thyroid replacement for hypothyroidism. Take in morning before breakfast on an empty stomach with a full glass of water.

Propylthiouracil PTU

Antithyroid medication for hyperthyroidism. Decreases thyroid hormone formation. Monitor thyroid labs.

Alendronate Fosamax

Slows bone breakdown. Take with plain water and remain upright. Watch for GI and esophageal irritation.