A school-age child with diabetes gets 30 units of NPH insulin at 0800. According to when this insulin peaks, the child should be at greatest risk for a hypoglycemic episode between when?
a. Lunch and dinner
b. Breakfast and lunch
c. 0830 to his midmorning snack
d. Bedtime and breakfast the next morning
ANS: A
Intermediate-acting (NPH and Lente) insulins reach the blood 2 to 6 hours after injection. The insulins peak 4 to 14 hours later and stay in the blood for about 14 to 20 hours.
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