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Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)?

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Final answer:

Insulin lispro (Humalog) should be administered around 15 minutes before a meal to effectively manage postprandial blood glucose levels in patients with diabetes, especially those with insulin-dependent diabetes mellitus (IDDM). Its fast onset of action makes this timing crucial for maintaining optimal blood glucose control.

Step-by-step explanation:

The best time to administer insulin lispro (Humalog), which is a rapid-acting insulin, is around 15 minutes before a meal. This timing ensures that the insulin is active when the blood glucose levels start to rise after eating. Insulin lispro works by facilitating glucose transport into cells, thereby reducing blood glucose levels in response to food intake. According to the graph provided on the insulin tolerance test, insulin causes a decrease in blood glucose levels within one hour. Since insulin lispro (Humalog) has a fast onset of action, administering it before meals aligns with its peak activity period, helping to manage postprandial (after meal) blood glucose spikes effectively.

Moreover, it assists in maintaining optimal blood glucose control throughout the day for patients with diabetes, particularly those with insulin-dependent diabetes mellitus (IDDM). By understanding the pharmacodynamics of insulin lispro, healthcare providers can optimize insulin therapy, ensuring better management of diabetes and reducing the risk of hypoglycemia. This practice is a significant improvement from earlier treatments where the timing was less precise, demonstrating progress in diabetes management enabled by advances in medical technology such as recombinant DNA technology, which now allows for the production of human insulin.

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