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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Insulin Lispro (Humalog) Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 31 August 2023

⏱️ 18 minutes

🧾️ Download transcript

Summary

On this podcast episode, I discuss the pharmacology, adverse effects, and drug interactions of insulin lispro (Humalog).



I spend some time on this podcast episode discussing carb ratios and sliding scale insulin when using insulin lispro.



Potassium is critical to monitor in diabetic ketoacidosis as insulin therapy can cause significant hypokalemia.



Sliding-scale insulin lispro is discouraged in the overwhelming majority of situations. Ideally, we should be more proactive about insulin administration to reduce the risk of hyperglycemia spikes.

Transcript

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0:00.0

Hey, all, welcome back to the Real Life Pharmacology podcast. I'm your host,

0:04.4

pharmacist, Eric Christensen. Thank you so much for listening today. Go check out RealLife Pharmacology.com.

0:11.7

Grab your free 31 page PDF on the top 200 drugs. It's a great study guide, great refresher.

0:19.1

No-brainer definitely to have to your medication-related library.

0:24.8

So simply an email, we'll get you access to that. We'll also get you updates when we've got

0:29.4

new podcast episodes available and other content as well. So go do that at real-life pharmacology.com. All right, let's get into the drug of the day today,

0:41.8

and that is insulin Lyspro. Brand name of this medication is Humelog, and I will say that with a caveat,

0:51.0

that there is a new formulation of LISP Pro out called Lyom Jev as well.

0:57.2

I'm not going to cover that specifically here on this podcast episode.

1:01.3

It is on my to-do list to tackle that one in the coming weeks.

1:07.0

But I definitely wanted to stick mostly to Humilog here because there's definitely quite a bit of information surrounding insulin

1:14.7

and the use of rapid-acting insulin in general.

1:18.9

So first and foremost, mechanistically,

1:23.5

we obviously want to know and think why and how insulin works.

1:29.6

So insulin plays a huge role in regulatory processes pertaining to energy and metabolism of carbohydrates, proteins, and fats.

1:43.2

Okay. And so a few of the things that it does, and I'm going to primarily focus on the stuff that

1:50.0

matters most to us regarding management of diabetes and blood sugar.

1:56.1

So first and foremost, it stimulates glycogen synthesis.

2:01.2

And if you remember from maybe biology, glycogen is essentially a storage form of glucose.

2:10.4

So insulin stimulates that storage of glucose.

2:15.1

Another thing it can do is it can increase ion permeability across cell membranes.

2:22.9

So particularly in the bloodstream, it'll pull out various electrolytes. So potassium is probably the

...

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