Figure 2. The carbon-carbon double bond found in monounsaturated or polyunsaturated fatty acids can exist in the cis or trans configuration. When the two hydrogen atoms are on opposite sides of the double bond, the configuration is called trans.
Hyperkalemia is a medical emergency, yet the administration of insulin, in most circumstances, can wait until a pharmacy prepares a stat dose. In general, pharmacy should also prepare all insulin infusions using a standard concentration (e.g., 1 unit/mL).
Hope this helped! The connection between diuretics and hyperglycemia involves intracellular K+ levels. Intracellular K+ is involved in the secretion of a lot of hormones...including insulin. Some diuretics cause hypokalemia, (decrease in K+). This inhibits insulin secretion and can lead to hyperglycemia. It's not really a problem unless the patient is pre-diabetic.