Which insulins are in suspensions

All insulins come dissolved or suspended in liquids. The standard and most commonly used strength in the United States today is U, which means it has units of insulin per milliliter of fluid, though U insulin is available for patients who are extremely insulin resistant. U, which has 40 units of insulin per milliliter of fluid, has generally been phased out around the world, but it is possible that it could still be found in some places and U insulin is still used in veterinary care.

If you're traveling outside of the U. Log in menu Manage Account Search. Donate now. Insulin Basics. There are different types of insulin depending on how quickly they work, when they peak and how long they last. Insulin is available in different strengths; the most common is U All insulin available in the United States is manufactured in a laboratory, but animal insulin can still be imported for personal use.

Types of insulin Rapid-acting insulin , begins to work about 15 minutes after injection, peaks in about one or two hours after injection, and last between two to four hours.

Types: insulin aspart Fiasp, NovoLog Insulin glulisine Apidra , and insulin lispro Admelog, Humalog, Lyumjev Regular or short-acting insulin usually reaches the bloodstream within 30 minutes after injection, peaks anywhere from two to three hours after injection, and is effective for approximately three to six hours. Types: Human Regular Humulin R, Novolin R, Velosulin R Intermediate-acting insulin generally reaches the bloodstream about two to four hours after injection, peaks four to 12 hours later, and is effective for about 12 to 18 hours.

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This man-made insulin product is the same as human insulin. It replaces the insulin that your body would normally make. It is an intermediate-acting insulin isophane. It starts to work more slowly but lasts longer than regular insulin.

Insulin isophane works by helping blood sugar glucose get into cells so your body can use it for energy. Insulin isophane is often used in combination with a shorter-acting insulin. It may also be used alone or with other oral diabetes drugs such as metformin. Read the Patient Information Leaflet provided by your pharmacist before you start using insulin isophane and each time you get a refill.

If you have any questions, ask your doctor, diabetes educator, or pharmacist. Learn all preparation and usage instructions from your health care professional and the product package. Before using, gently roll the vial or cartridge, turning it upside down and right side up 10 times to mix the medication. Do not shake the container. Check this product visually for particles or discoloration. If either is present, do not use the insulin.

Do not use if you see clumps of white material, a "frosty" appearance, or particles stuck to the sides of the vial or cartridge. Before injecting each dose, clean the injection site with rubbing alcohol.

Inject this medication under the skin as directed by your doctor, usually once or twice a day. This insulin product may be injected in the stomach area, the thigh, the buttocks, or the back of the upper arm.

Do not inject into a vein or muscle because very low blood sugar hypoglycemia may occur. Do not rub the area after the injection. Do not inject into skin that is red, swollen, itchy, or damaged. Do not inject cold insulin because this can be painful. The insulin container you are currently using can be kept at room temperature.

This product may be mixed only with certain other insulin products such as insulin regular. Always draw the insulin regular into the syringe first, then follow with the longer-acting insulin. Never inject a mixture of different insulins into a vein. Consult your health care professional about which products may be mixed, the proper method for mixing insulin, and the proper way to inject mixtures of insulin. Do not mix insulins if you are using an insulin pump.

Do not share your pen device with another person, even if the needle is changed. You may give other people a serious infection, or get a serious infection from them. Learn how to store and discard medical supplies safely. The dosage is based on your medical condition and response to treatment. Measure each dose very carefully because even small changes in the amount of insulin may have a large effect on your blood sugar.

Check your blood sugar regularly as directed by your doctor. Keep track of your results and share them with your doctor. This is very important in order to determine the correct insulin dose. Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day.

Tell your doctor if your condition does not improve or if it worsens your blood sugar is too high or too low. Injection site reactions such as pain, redness, irritation or weight gain may occur.

If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication can cause low blood sugar hypoglycemia. This may occur if you do not consume enough calories from food or if you do unusually heavy exercise. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda.

Mean HbA1c values in patients with improved suspension quality did not differ from baseline 8. Mixing of NPH insulin by a mechanical device showed that at least 20 cycles were necessary before complete resuspension was obtained. Interpretation: Inadequate NPH insulin suspension is common. We recommended that patients tip pens that contain NPH insulin at least 20 times, since inadequate mixing may impair diabetes control.