Types of Insulin

What category would you find Aspart (NovoLog) insulin?

Rapid-Acting Insulin

What category would you find Lispro (Humalog) insulin?

Rapid-Acting Insulin

What category would you find Glulisine (Apidra) insulin?

Rapid-Acting Insulin

What category would you find Regular (Novolin R, Humulin R) insulin?

Short-Acting

What category would you find NPH (Novolin N. Humulin N) insulin?

Intermediate-Acting

What category would you find Glargine (Lantus) insulin?

Long-Acting

What category would you find Determir (Levemir) insulin?

Long-Acting

What is the onset, peak, and duration in hours for Aspart (Novolog) insulin?

Onset: 0.5 hour

Peak: 1 to 3 hours

Duration: 3 to 5 hours

What is the onset, peak, and duration in hours for Lispro (Humalog) insulin?

Onset: 0.25 hour

Peak: 0.5 to 1.5 hours

Duration: 6 to 8 hours

What is the onset, peak, and duration in hours for Glulisine (Apidra) insulin?

Onset: Less than or equal 0.25 hour

Peak: 0.5 to 1.5 hours

Duraiton: 2 to 4 hours

What is the onset, peak, and duration in hours for Regular (Novolin R, Humulin R) insulin?

Onset: 0.5 to 1 hour

Peak: 2 to 3 hours

Duration: 8 to 12 hours

What is the onset, peak, and duration in hours for NPH (Novolin N, Humulin N) insulin?

Onset: 1 to 1.5 hours

Peak: 4 to 12 hours

Duration: 18 to 24 hours

What is the onset, peak, and duration in hours for Glargine (Lantus) insulin?

Onset: 1 to 2 hours

Peak: None

Duration: 24 hours

What is the onset, peak, and duration in hours for Detemir (Levemir) insulin?

Onset: 2 to 5 hours

Peak: None

Duration: 6 to 24 hours

When mixing insulins, which do you draw up into the syringe first?

Draw up clear insulin first (Regular, Aspart, Lispro, Glulisine)

When mixing insulins, which bottle would you put air into first?

Cloudy (NPH) insulin

After mixing insulins, how soon do you give the injection?

Immediately (within 1-3 minutes)

What insulin can be mixed with NPH?

Regular, Lispro (Humalog), Aspart (NovoLog), and Glulisine (Apidra).

What can not be mixed with Aspart (Novolog) insulin?

Regular insulin can not be mixed in the same syringe as Aspart.

What insulins can NOT be mixed with any other insulin?

Glargine (Lantus) and Determir (Levemir)

Novolog 70/30 and Humalog 75/25

Novolin/Humulin 70/30 and Humulin 50/50

How should each insulin dose be verified?

At MTMC, each insulin dose is double-checked with another TN or LPN using the order, the syringe with insulin drawn up, and the container from which insulin was drawn.

How soon before a meal should Regular insulin be administered?

30-45 minutes before a meal

When should Aspart (NovoLog) and Lispro (Humalog) be administered?

Immediately before a meal.

What is the best injection site for an insulin injection?

The abdomen with the thighs as alternate choice. Rotates sites 1/2-1" with each injection.

NPH is compatible to be mixed with which types of insulin?

Rapid-Acting and Short-Acting insulins (Aspart, Lispro, Glulisine, and Regular)

What insulins may be mixed with Intermediate-Acting Insulins (NPH)?

Regular, Lispro, Aspart, and Glulisine

What insulins can be mixed with Long-Acting insulins?

NONE!