Class: Insulin, Intermediate-Long-Acting
Dosage Forms. Injection Solution: 100 units/mL; Pen (Administration Device): 100 units/mL
Common FDA Label Indication and Dosing.
1. Diabetes mellitus, Type I and II: Dosing is individualized to patient needs
Off-Label Uses. Not required
MOA. Insulin promotes cellular uptake of glucose, fatty acids, and amino acids and their conversion to glycogen, triglycerides, and proteins.
Drug Characteristics: Insulin Detemir
Medication Safety Issues: Insulin Detemir
Drug Interactions: Insulin Detemir
Adverse Reactions: Insulin Detemir
Efficacy Monitoring Parameters. Preprandial blood glucose between 70 and 130 mg/dL, HbA1c <7%.
Toxicity Monitoring Parameters. Symptoms of hypoglycemia include nausea, sweating, and loss of consciousness.
Key Patient Counseling Points. Monitor blood glucose in frequent intervals (2-4 times per day); if <70 mg/dL, eat candy or sugar and contact prescriber. Store in refrigerator. Dispose needles in sharps container. Do not share needles; this increases the risk of transmission of infectious diseases. Rotate injection sites.
Clinical Pearls. Insulin requirements may change during periods of stress (illness) or with increased activity; monitor and adjust.