Insulin is made by different companies. Make sure you use the same type of insulin consistently. Rapid-acting insulins work over a narrow, more predictable range of time. Because they work quickly, they are used most often at the start of a meal. Rapid-acting insulin acts most like insulin that is produced by the human pancreas. It quickly drops the blood sugar level and works for a short time. If a rapid-acting insulin is used instead of a short-acting insulin at the start of dinner, it may prevent severe drops in blood sugar level in the middle of the night.
Short-acting insulins take effect and wear off more quickly than long-acting insulins. A short-acting insulin is often used 30 minutes before a meal so that it has time to work. These liquid insulins are clear and do not settle out when the bottle vial sits for a while. Intermediate-acting insulins contain added substances buffers that make them work over a long time and that may make them look cloudy. When these types of insulin sit for even a few minutes, the buffered insulin settles to the bottom of the vial.
Mixtures of insulin can sometimes be combined in the same syringe, for example, intermediate-acting and rapid- or short-acting insulin. Not all insulins can be mixed together. For convenience, there are premixed rapid- and intermediate-acting insulin. The insulin will start to work as quickly as the fastest-acting insulin in the combination.
It will peak when each type of insulin typically peaks, and it will last as long as the longest-acting insulin. Examples include:. Author: Healthwise Staff. Medical Review: E. This information does not replace the advice of a doctor. A: The action time of Lantus insulin changes when it is mixed with any other insulin.
You end up with some mixture of long-acting and short-acting insulin , but the mixture is unpredictable. So the manufacturer of Lantus recommends it should not be mixed with any other type of insulin in the same syringe. What does Lantus do for diabetics? Insulin is a hormone that works by lowering levels of glucose sugar in the blood.
Insulin glargine is a long-acting insulin that starts to work several hours after injection and keeps working evenly for 24 hours. Lantus is used to improve blood sugar control in adults and children with diabetes mellitus. What insulins can you mix together? The following insulins may be combined: a. Novolog Lispro and Humalog Aspart , Rapid acting insulin, can be mixed with NPH if provided by the same manufacturer and are administered within 15 minutes after mixing. Regular short acting insulin and NPH can be mixed.
Can you mix Apidra and Lantus? No interactions were found between Apidra and Lantus. This does not necessarily mean no interactions exist. Always consult your healthcare provider. Why is clear insulin cloudy?
Inserting the needle into the cloudy insulin bottle Important: Do not push the plunger because this would force clear insulin into your cloudy insulin bottle.
If clear insulin is mixed in the bottle of cloudy, it will alter the action of your other doses from that bottle. Can Detemir be mixed with other insulins? A rapid- or short-acting insulin is often prescribed with Levemir. Don't share. Even if you change the needle, sharing an insulin pen or syringe may spread diseases carried in the blood, including hepatitis and HIV. Avoid mix-ups. If you use more than one type of insulin, make each vial or pen look different by putting a rubber band around one type of insulin.
Check your medicine. NovoLog can be confused with Humalog another rapid-acting insulin. When you pick up your insulin at the pharmacy, be sure it's the right type of insulin. Treat low blood sugar hypoglycemia. Carry a quick source of sugar, such as glucose tablets, candy, or juice, to treat low blood sugar. Signs of low blood sugar are listed below. Test your blood sugar level.
Ask your doctor how often you should test your blood sugar level. Keep a log of your blood sugar levels and how much insulin you take each day. Bring the log with you each time you visit your doctor. Get a periodic lab test. You should have a hemoglobin A1c test at least twice a year to determine how well your diabetes is being controlled. The test shows an average of your blood sugar control over a 6- to week period.
Call for illness or changes in habits. Your insulin needs may change because of illness, stress, changes in eating habits or physical activity, and other medicines you take.
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