Diabetes patient injection logsheet12/18/2023 For example, each dose of a 70/30 mix contains 70% intermediate-acting insulin and 30% short/rapid-acting insulin. The first number denotes the quantity of intermediate insulin and the second number denotes the quantity of short/rapid-acting insulin delivered with each dose administered. Insulin mixes contain a ratio of intermediate- and short/rapid-acting insulin. Switching between types of insulin should be done in consultation with a physician and requires medical supervision, and if possible, close monitoring of blood glucose. When switching from an intermediate-acting to a once a day long-acting insulin, add up the total amount of intermediate-acting insulin units for one day, and give it as a single long-acting insulin dose once a day.Ĭlose monitoring of blood glucose and adjustment in insulin dose may be needed in the transition period.Importantly, when switching from a once a day long-acting insulin (e.g., Lantus, Levemir) to an intermediate-acting insulin the dose of the once a day long-acting insulin should be cut in half and given as two injections of intermediate acting insulin, one in the morning with breakfast and one in the evening with dinner to avoid dangerously low blood glucose levels.Likewise, these intermediate insulins may also be substituted for long-acting insulins (e.g., Lantus, Levemir) on a total unit-per-day basis, or vice versa in emergency conditions. One intermediate-acting insulin product (e.g., Humulin N, Novolin N) may be substituted for another intermediate-acting insulin product on a unit-per-unit basis in emergency conditions. Rapid-acting insulins begin working more rapidly than regular insulin and are to be injected no more than 15 minutes before the start of each meal to avoid dangerously low blood glucose levels. Regular insulins are to be injected approximately 30 minutes before the start of each meal. One brand of regular insulin (e.g., Humulin R, Novolin R) may be substituted for another brand of regular insulin and for rapid-acting insulins (e.g., Humalog, NovoLog, Apidra), and vice versa, on a unit-per-unit basis in emergency conditions. Short-acting (regular insulin) and Rapid-acting Insulins Make sure to closely monitor your blood glucose and seek medical attention as soon as possible. If medical supervision is not possible under emergency conditions, the following recommendations may be considered. Switching insulin should always be done in consultation with a physician and requires close medical supervision, and if possible, close monitoring of blood glucose. Insulin contained in the infusion set of a pump device and exposed to temperature exceeding 98.6☏ should be discarded. Insulin contained in the infusion set of a pump device (e.g., reservoir, tubing, catheters) should be discarded after 48 hours. Novo Nordisk: 1-80 Additional Storage Information for Insulin Pumps If patients or healthcare providers have specific questions about the suitability of their insulin, they may call the respective manufacturer at the following numbers: When properly stored insulin becomes available again, the insulin vials that have been exposed to these extreme conditions should be discarded and replaced as soon as possible. Keep insulin away from direct heat and out of direct sunlight. If you are using ice, avoid freezing the insulin. You should try to keep insulin as cool as possible. Under emergency conditions, you might still need to use insulin that has been stored above 86☏. This can result in loss of blood glucose control over time. The longer the exposure to extreme temperatures, the less effective the insulin becomes. Note: Insulin loses some effectiveness when exposed to extreme temperatures. However, an insulin product that has been altered for the purpose of dilution or by removal from the manufacturer’s original vial should be discarded within two weeks. Insulin products contained in vials or cartridges supplied by the manufacturers (opened or unopened) may be left unrefrigerated at a temperature between 59☏ and 86☏ for up to 28 days and continue to work. Unopened and stored in this manner, these products maintain potency until the expiration date on the package. insulin manufacturers, it is recommended that insulin be stored in a refrigerator at approximately 36☏ to 46☏. According to the product labels from all three U.S. After a disaster, patients in the affected area may not have access to refrigeration. Insulin from various manufacturers is often made available to patients in an emergency and may be different from a patient's usual insulin. En Español Insulin Storage and Effectiveness
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |