NCLEX · Diabetes and Endocrine Care

What is the onset, peak, and duration of regular (short-acting) insulin?

Correct answer

Onset 30-60 minutes, peak 2-4 hours, duration 5-8 hours

  1. A Onset 30-60 minutes, peak 2-4 hours, duration 5-8 hours
  2. B Onset 15 minutes, peak 1 hour, duration 24 hours
  3. C Onset 2 hours, peak 12 hours, duration 24 hours
  4. D Onset immediate, no peak, duration 4 hours

Why this is the answer

Regular insulin (Humulin R, Novolin R) is the short-acting insulin. Approximate pharmacokinetics: onset 30-60 minutes, peak 2-4 hours, duration 5-8 hours. Give 30 minutes before meals. The only insulin that can be given IV (for DKA, hyperkalemia, perioperative use). Other insulin types: Rapid-acting (lispro, aspart, glulisine): onset 10-15 min, peak 1-2 hr, duration 3-5 hr — give within 15 min of eating. Intermediate-acting (NPH/Humulin N): onset 1-2 hr, peak 4-12 hr, duration 14-24 hr — cloudy appearance, mix gently before drawing up. Long-acting (glargine/Lantus, detemir/Levemir): onset 1-2 hr, no pronounced peak, duration 24 hr — never mix with other insulins, give once daily. Ultra-long acting (degludec/Tresiba): duration >40 hr. NCLEX commonly tests insulin onset/peak/duration because peak times are when hypoglycemia risk is highest, and timing relative to meals is critical for blood sugar control.
Source: NCLEX-RN, Diabetes — Insulin Pharmacokinetics

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About this topic: Diabetes and Endocrine Care

Diabetes and endocrine questions cover hypo- and hyperglycaemia recognition and treatment, insulin types and timing, sick-day rules, DKA and HHS, and thyroid and adrenal disorders. This is one of 6 RN: Physiological Integrity questions on diabetes and endocrine care, each with a full explanation on a single study page.

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