You'll also need to know some basic things about insulin. Your provider will prescribe an insulin dose regimen for you; however, you still need to calculate some of your insulin doses. Your insulin dose regimen provides formulas that allow you to calculate how much bolus insulin to take at meals and snacks, or to correct high blood sugars. The bolus dose for food coverage is prescribed as an insulin to carbohydrate ratio. The insulin to carbohydrate ratio represents how many grams of carbohydrate are covered or disposed of by 1 unit of insulin.
The expiration date will usually be 1 year from the date of purchase but you have to check the box to find out. Once open there are different storage needs for insulin.
What does OPEN mean? This does NOT mean removed from the box. OPEN means the insulin cap is removed and the rubber stopper was punctured. Vials and pens have different needs for storage.
These differences can lead to confusion. Therefore, it is very important for you to become familiar with the recommendations for the insulin product that you use. Once you stick a needle in the vial, it is OPEN. Regardless of where it is stored, OPEN insulin will only last 28 days before it must be thrown in the trash.
Insulin Regular Dosage
Insulin kept in the fridge should be removed and allowed to reach room temperature before injection. PEN: Once used for the first time, insulin pens should not be stored in the fridge. The number of days you can use the pen will depend on which pen you use.
Talk to your doctor or pharmacist. The number of days depends on which pen you use.
You will need to work out your specific insulin requirements and dose regimen with your medical provider and diabetes team. Self assessment quizzes are available for topics covered in this website.
The quiz is multiple choice. Please choose the single best answer to each question.
-Initial doses are often in the range of to units/kg/day. -Use HbA1c values to guide therapy; consult current guidelines for optimal target ranges. Multiple-daily insulin (MDI) injections U or U insulin: Administer U insulin subcutaneously 3 or more times a day approximately 30 minutes prior to start of a meal/ Stability of Common Insulins in Pens and Vials1,2 Diabetes in Control is a medical e-newsletter dedicated to keeping clinicians current with the rapid changes in diabetes care. Access the continually growing collection of must-know clinical information and education as a jankossencontemporary.com Size: KB. Storage of UNOPENED insulin: Insulin is very sensitive to sunlight, indoor lights, and to extremely hot or cold temperature. Insulin is not OK to use if exposed to very hot or cold weather. The three drug manufacturers of insulin in the United States say UN OPENED insulin is best stored inside the fridge [2° to 8°Celcius (36° to
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Who Is At Risk? Next, you have to calculate the high blood sugar correction dose. The high blood sugar correction dose is 2 units of rapid acting insulin.
See rapid-acting lispro, aspart, or glulisine insulin monographs for dosing of rapid-acting insulin.
Video 1 insulin chart instructions 2017
Subcutaneous regular human insulin: 0. Comments: -An endocrinologist or critical care specialist with training and expertise in the management of DKA should direct care; frequent monitoring of clinical and laboratory parameters is necessary as well as identification and correction of precipitating event.
Insulin dating chart
Use: Treatment of diabetic ketoacidosis DKA. Patients with insulin-resistant type 1 or type 2 diabetes who require daily insulin doses of more than units may find U insulin to be useful; larger doses may be administered subcutaneously in a reasonable volume.
Successful treatment of hyperglycemic emergencies such as hyperglycemic hyperosmolar state HHS requires frequent monitoring of clinical and laboratory parameters while carefully correcting volume deficits, managing electrolytes, and normalizing blood glucose.
Initiate insulin infusion 1 to 2 hours after starting fluid replacement therapy -Dose: 0. Comments: -An endocrinologist or critical care specialist with training and expertise in the management of HHS should direct care; frequent monitoring of clinical and laboratory parameter is necessary as well as identification and correction of precipitating event.
Storage of Insulin
Use: Treatment of hyperglycemic hyperosmolar state also known as hyperosmolar non-ketotic coma HONK ; hyperosmolar hyperglycemic nonketotic syndrome. Use: For the treatment of hyperkalemia.
Note: Regular human insulin is available in 2 concentrations: units of insulin per mL U and units of insulin per mL U ; U insulin has not been adequately studied in pediatric patients. Individualize dose based on metabolic needs and frequent monitoring of blood glucose -Total daily insulin requirements are usually between 0.
The total lunch insulin dose is 8 units of rapid acting insulin. Example #4: Formulas commonly used to create insulin dose recommendations. This example illustrates a method for calculating of your background/basal and bolus doses and estimated daily insulin dose when you need full insulin replacement. Bear in mind, this may be too much. The chart below lists the types of injectable insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood sugar), peak (the time period. Stability of Common Insulins in Vials and Pens1,2! Originally prepared by: Brandon Flohr Pharm.D. Candidate Originally edited by: Janice Li Pharm D. Candidate ated:!November!-!jankossencontemporary.com! Novolin N The expiration date on the label 42 Do not refrigerate 42 Pre-Mixed Insulin Humulin 70/30 The expiration date on the label 31File Size: KB.
Intravenous Administration: U insulin : -Closely monitor blood glucose and serum potassium during IV administration -Humulin R : Dilute to a concentration of 0. Use: To improve glycemic control in pediatric patients with diabetes mellitus. Individualize dose based on metabolic needs and frequent monitoring of blood glucose -Initial doses are often in the range of 0. In circumstances where continuous IV infusion is not possible and DKA is uncomplicated, may administer regular insulin subcutaneously at 0.
Use: Treatment of diabetic ketoacidosis. Use caution; patients with renal impairment are at increased risk of hypoglycemia and may require more frequent dose adjustments and more frequent blood glucose monitoring.
Use caution; patients with hepatic impairment are at increased risk of hypoglycemia and may require more frequent dose adjustments and more frequent blood glucose monitoring.