Transcript for:
Understanding Rapid Acting Insulin

[Music] rapid acting insulin is the fastest acting form of insulin used to rapidly reduce blood sugar levels in this pneumonic video we'll cover the important facts about rapid acting insulin so you'll be ready come test day in this pneumonic we're coming back from rescuing a man off a cold mountain peak the man was cold and hungry but now that he's been rescued he's recovering nicely especially since I've wrapped him up in some insulation to keep warm here at pixiz we use insulation to symbolize insulin because insulation and Insulin sound so similar right here we have a diagram of a cell being supplied by a blood vessel with glucose circulating in the blood insulin is a hormone that binds to receptors on cells of our body the insulin binding activates a chain reaction that tells the cell to put glucose Transporters on its cell membrane this presence of glucose Transporters then allows glucose to enter the cell from the bloodstream causing a decrease in blood glucose levels insulin is made naturally in the pancreas but people with certain conditions like diabetes melodus may need extra doses of insulin given through an injection in these cases insulin is considered a drug or a medication when given as a medication insulin comes in four different types divided based on how fast they act in the body we have rapid acting short acting intermediate acting and long acting insulin in this video we're going to specifically focus on rapid acting insulin notice how I'm a member of a rapid response team with this super fast helicopter and highly trained crew we are able to rapidly respond to emergencies like rescuing this guy from the peak and getting him the insulation that he needs to stay warm use the idea of rapid response to help you remember that in this scene we're talking specifically about rapid acting insulin rapid response for Rapid acting okay rapid acting insulin is the fastest insulin type available meaning they lower blood glucose levels quickly let's talk more about the exact timing of Rapid acting insulin next in our rapid response helicopter it only takes 1 hour to reach the peak of the mountain the helicopter is much faster than if you were to reach the peak by hiking or off-roading the way the rapid response helicopter only takes 1 hour to reach the peak should help you remember that rapid acting insulin Peaks around 1 hour let's break down what this actually means each type of insulin has an onset meaning when the insulin's effect starts a peak meaning when the insulin level is the highest in the blood and its effect is most powerful and a duration meaning how long the insulin's effect lasts to illustrate this take a look at this chart where the y- axis represents insulin levels in the blood and the x axis represents time after the administration of insulin rapid acting insulin has an onset of 15 minutes Peaks around 1 hour and has a duration of between 3 to 5 hours depending on the specific patient remember that insulin lowers blood glucose levels so when insulin is at its peak is when glucose levels are most likely to be the lowest for this reason the peak is the most important of the three to remember in other words it's at the peak time that the patient is most likely to experience low blood glucose levels called hypoglycemia rapid acting insulin Peaks right around one hour after Administration different resources May slightly vary on this number and the exact timing of the Peak will vary by patient but on test day if you see a question asking about when rapid acting insulin Peaks or when you should be extra careful about monitoring for hypoglycemia choose the answer closest to 1 hour after the administration time and you'll be sure to get that question correct next we're going to talk about the specific drug names of Rapid acting insulin for your convenience we've clustered these drug names around the construction worker at the bottom of the scene okay now that we've successfully rescued the man from the peak and and warmed him up let's land the helicopter but wait the helicopter landing pad is still under construction see all those piles of fresh asphalt I should have known the asphalt wouldn't be ready yet after all construction always takes way longer than expected this asphalt should help you remember aspart asphalt for aspart got that in clinical practice you will commonly hear aspart called by its brand name noval log but since the generic name aspart is the name that will be tested on the inle just remember this asphalt for aspart and you'll be good to go the construction crew obviously needs more workers since they fallen behind schedule the construction manager is advertising the job posting now as he glues a listing nearby hoping that people who know how to pave asphalt will apply the way the manager is gluing a listing should help you remember the drug name Glu lessine glue listing for Glu lessine Glu Line's trade name is aedra but again the generic name gline will appear on the inlex so just remember the glueline glue listing and you'll be sure to remember that gline is a rapid acting insulin the construction manager needs to up the construction speed of the helicopter pad so he's decided to get more organized using his new list Pro app to help him keep track of his to-do list and keep his construction crew on task list Pro should help you remember the drug name list Pro list Pro's brand name is Humalog so you might hear this in the clinical setting as well but for the inlex just remember this list Pro for list Pro and you'll be set it might be a while before we can find somewhere else to land so in the meantime I better give this guy some food seeing that he's starving from being lost on the mountain peak this person eating food should help you remember that rapid acting insulin is to be given with meals specifically the patient will want to be sure to eat within 15 minutes of Rapid acting insulin administ ation let me explain why it's so important to take rapid acting insulin at the same time as meals this is a diagram of the stomach intestines and a blood vessel the food we eat travels through the stomach and the intestines where it gets broken down into glucose sugar molecules the glucose is then absorbed into the blood which raises blood glucose levels to visualize this process take a look at this graph with blood glucose levels on the Y AIS in time in hours on the x-axis notice how after a meal blood glucose levels start to rise until they Peak typically around 1 hour after eating now let's bring back our graph from earlier showing insulin levels in the blood over time after the administration of Rapid acting insulin remember that rapid acting insulin Peaks 1 hour after Administration by administering rapid acting insulin at the same time as meals the timings of the insulin peak and the blood glucose Spike will synchronize and keep the blood glucose levels within normal limits if a patient eats a meal without administering rapid acting insulin the blood glucose levels will Skyrocket and on the other hand if they administer rapid acting insulin without eating a meal their blood glucose levels will drop drastically so the timing of taking rapid acting insulin and eating meals is super important to keep blood glucose levels within normal limits all right that's all for this pneumonic let's recap rapid acting insulin is the fastest acting insulin type that around 1 hour after Administration it includes the drugs aspart gline and lispro and Rapid acting insulin should be taken with meals to prevent postmeal blood sugar spikes and now we're actually done with rapid acting insulin I'll see you next time thanks for watching for more videos like this one subscribe to our Channel and check out our newest lessons I'll see you next time