Insulin type Onset When it peaks in your system Duration When taken Ultra-rapid acting 2 to 15 min min 4 hours Taken with meals, usually with the first bite of a meal.
Commonly used along with long-acting insulin. Rapid-acting 15 min 1 hour 2 to 4 hours Taken with meals, typically right before a meal. Commonly used along with longer-acting insulin. Rapid-acting inhaled 10 to 15 min 30 min 3 hours Taken with meals, typically right before a meal. Commonly used with injectable long-acting insulin. Regular or short-acting 30 min 2 to 3 hours 3 to 6 hours Taken with meals, typically 30 to 60 minutes before a meal.
Intermediate acting 2 to 4 hours 4 to 12 hours 12 to 18 hours Taken once or twice a day. Covers your insulin needs for half a day or overnight. Commonly used with rapid- or short-acting insulin.
Can be used with rapid- or short-acting insulin if needed. Premixed 5 to 60 min varied peaks 10 to 16 hours Taken twice a day, commonly 10 to 30 minutes before breakfast and dinner. This type is a combination of intermediate- and short-acting insulin. Administration and dosage. How should I store my insulin? Side effects and reactions. Alternative medications for people with type 2 diabetes. Ways to manage blood glucose levels. Read this next. Medically reviewed by Elaine K.
Luo, M. Diabetes: Facts, Statistics, and You. Griffith, MD. The Effects of Insulin on the Body. Medically reviewed by Kevin Martinez, M. Is Type 1 Diabetes Genetic? Medically reviewed by Marina Basina, M. Insulin Pumps. Medically reviewed by Peggy Pletcher, M. Gestational Diabetes. Medically reviewed by Kelly Wood, MD. Taken with meals, usually with the first bite of a meal.
Taken with meals, typically right before a meal. Taken once or twice a day. Never store insulin in direct sunlight, in the freezer, or near heating or air conditioning vents, ovens, or radiators. It should also not be left in a very warm or cold car. Store it in an insulated case if needed. DO: Work closely with your doctor. Finding a routine that works for your type 2 diabetes is key — and that process should involve your doctor.
Not doing so can have disastrous consequences," he says. For example, if your blood sugar is elevated because you're not taking your insulin as directed and your doctor increases your dose based on this misinformation, it could result in dangerously low blood sugar hypoglycemia once you start taking insulin again. Insulin should be injected into the fat just underneath the skin rather than into muscle, which can lead to quicker insulin action and greater risk of low blood sugar.
The stomach, thighs, buttocks, and upper arms are common injection sites because of their higher fat content. DO: Time insulin injections with meals. If you take long-acting insulin, this may not be necessary.
Ask your doctor or pharmacist to show you how to use the device. Never reuse needles or syringes and never share needles, syringes, cartridges, or pens. If you are using an insulin pen, always remove the needle right after you inject your dose. Dispose of needles and syringes in a puncture-resistant container. Ask your doctor or pharmacist how to dispose of the puncture-resistant container. Your doctor may tell you to mix two types of insulin in the same syringe.
Your doctor will tell you exactly how to draw both types of insulin into the syringe. Always draw the same type of insulin into the syringe first, and always use the same brand of needles.
Never mix more than one type of insulin in a syringe unless you are told to do so by your doctor. Always look at your human insulin before you inject. If you are using a regular human insulin Humulin R, Novolin R , the insulin should be as clear, colorless, and fluid as water. Do not use this type of insulin if it appears cloudy, thickened, or colored, or if it has solid particles.
Do not use these types of insulin if there are clumps in the liquid or if there are solid white particles sticking to the bottom or walls of the bottle. Do not use any type of insulin after the expiration date printed on the bottle has passed. Some types of human insulin must be shaken or rotated to mix before use. Ask your doctor or pharmacist if the type of insulin you are using should be mixed and how you should mix it if necessary. Talk to your doctor or pharmacist about where on your body you should inject human insulin.
You can inject your human insulin in the stomach , upper arm, upper leg, or buttocks. Do not inject human insulin into muscles, scars, or moles.
Use all available sites in the same general area before switching to a different area for example, the upper arm. This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information. Be sure to follow all exercise and dietary recommendations made by your doctor or dietitian. It is important to eat a healthy diet and to eat about the same amounts of the same kinds of foods at about the same times every day. Skipping or delaying meals or changing the amount or kind of food you eat can cause problems with your blood sugar control.
When you first start using human insulin, ask your doctor what to do if you forget to inject a dose at the correct time. Write down these directions so that you can refer to them later. Store unopened vials of human insulin, unopened disposable dosing devices and unopened human insulin pens in the refrigerator. Do not freeze human insulin and do not use human insulin that has been frozen.
Opened vials of human insulin should be stored in the refrigerator but may also be stored at room temperature, in a cool place that is away from heat and direct sunlight. Store opened human insulin pens and opened dosing devices at room temperature. Check the manufacturer's information to find out how long you may keep your pen or dosing device after the first use.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet.
Instead, the best way to dispose of your medication is through a medicine take-back program. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
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