AKT-4743

AKT-4743

You are a pediatrician who is visiting a children’s hospital. A new patient is admitted and the nurse is looking through his medications which he has brought with him from home. The patient is a 10-year-old with type 1 diabetes and on his insulin box it says ‘insulin lispro (Rapid-acting analogue)’, unfortunately the instructions for administration have rubbed out.

The nurse asks you how insulin lispro is usually administered:

Given just prior to meal
46%

Given just after meal
9%

Given 30 minutes before meal
31%

Given 30 minutes after meal
6%

Given only if blood sugar is found to be greater than 10mmol/L
7%

Insulin lispro is a fast acting insulin analogue. Its levels peak 0-3 hours after injection and last 2-5 hours. It should therefore be given just prior to meals.

The April 2015 AKT feedback report stated:

Diabetes and prediabetes are increasingly common, and we frequently feed back concerning lack of knowledge in these areas?