To make an insulin pen work for you, you need to choose the right needle. The pen is prefilled with insulin, and the only preparation required is attaching the needle. It may also be used in the treatment of type 2 diabetes if insulin levels remain low despite the use of other types of medications, although most people with type 2 diabetes do not require insulin in the early stages of the disease. Review of insulin and its analogues in diabetes mellitus krishnappa mane, chaluvaraju kc, niranjan ms, zaranappa and manjuthej tr department of pharmaceutical chemistry, government college of pharmacy, bangalore 560 027, india. Insulin is a hormone that plays a central role in controlling blood sugar levels in the body. However, total cost of insulin pen is potentially lower than vial if patients daily insulin dose is low since less unused insulin needs to be discarded at end of month. General insulin storage requirements are as follows. Insulin pens are growing in popularity, and many people with diabetes nowadays use a pen to administer insulin.
Basal insulins deliver a steady supply of insulin that helps control blood sugar levels over time. Insulin is used in the treatment of people with type 1 diabetes who produce little or no insulin. Many types of insulin are available and they vary by. Humalog minutes apidra longacting insulin lantus 30 minutes before the 1 hour steady up to 24 hours.
An insulin pen is an injection device that delivers insulin into the fatty tissue below the skin with a short, thin needle. Review of insulin and its analogues in diabetes mellitus. Insulin is most commonly administered subcutaneously under the skin and there are three main delivery methods. Pen is blue, with different colored labels, cartridge holders, and dosing knobs for various types of insulin. Which insulin is best for you depends on a number of factors. Apr 18, 2019 urakami t, mine y, aoki m, okuno m, suzuki j. Types, preparations, drug interactions, dosage, and pregnancy and breastfeeding safety information are provided. If your healthcare provider has talked to you about.
Insulin toujeo dose delivery 2unit increments, up to 160 units at a time total capacity 900 units details pen is offwhite with a green label. Pens may cost more, so be sure to discuss this with your health care team. The 2 types of insulin pens available currently are reusable and prefilled. This chart covers the different types of insulin, how long it takes to start lowering blood sugar when the peak of action will occur, and how long it will continue to work. Types of insulin pens advantages as well as disadvantages. Once opened, good for 42 days tresiba flextouch u200 pen 200 units insulin ml degludec tresiba ultra basal 2 xs concentration of u100 insulin 3 ml pen.
Rapidacting insulin, begins to work about 15 minutes after injection, peaks in about 1 hour, and continues to work for 2 to 4 hours. For most insulin pens, you will hear a click for each unit of insulin that you dial. Once opened, good for 8 weeks all concentrated insulin pens and the u500 syringe automatically deliver correct dose in less volume. When you buy a disposable insulin pens, they are prefilled with insulin and the pens are discarded when they are empty. Risk associated with the use of insulin pens and vials 9 risk associated with monitoring patients on subcutaneous insulin 11 risk associated with educating patients on subcutaneous insulin 11 developing consensus guidelines for safe subcutaneous insulin use 12 safe practice guidelines for subcutaneous insulin use in adults 1.
Gently tap the pen to move air bubbles to the top of the pen. Press button on bottom of pen until you hear it click and the dose in the dose window moves back down to zero. An insulin pen is a compact, portable device, about the size of a large marker that serves exactly the same function as a syringe and needle. The 2 types of insulin pens available currently are reusable. Fiesselmann a, wiesner t, fleischmann h, bramlage p.
This chart breaks down the types of insulin, their duration, and the different brands available. Types of insulin there are many types of insulin available today. Realworld therapeutic benefits of patients on insulin glargine versus nph insulin. Dial returns to zero after injection to indicate delivery. Insulin glulisine for continuous subcutaneous insulin infusion in pediatric type 1 diabetes.
This is especially important if you use more than 1 type of insulin. Types of insulin common when its how soon when its how long insulin names usually taken it starts working it lasts working the most fastacting insulin novolog right before a meal 15 minutes 30 to 90 3 to 5 hours humalog minutes apidra longacting insulin lantus 30 minutes before the 1 hour steady up to 24 hours. Be sure to read the product information provided with your medication and follow the instructions from your doctor and pharmacist for using insulin. Insulin can be given using a syringe or a pen device. Do not use your pen past the expiration date printed on the label or for more than 28 days. Mar 04, 2019 different types of insulin work at different speeds in the body. Novolin n the expiration date on the label 42 do not refrigerate 42 premixed insulin humulin 7030 the expiration date on the label 31. Rapidacting insulin works very rapidly to lower the blood sugar names. Insulin pen types there are many different types of insulin pens to choose from, and they are put into one of two groups. A number of companies make insulin pens including novo nordisk, aventis, eli lilly and biocon. Apidra, grey for lantus and textures to help users distinguish between the types of insulin. Use the pictures and steps listed below to learn how to use your pen. They can also make insulin delivery easier for anyone. The final column offers some insight into the coverage provided by the different insulin types in relation to mealtime.
Pens can be used to deliver a variety of longacting and rapid acting insulin types, as well as premixed insulin formulations. Fiasp pen dialed to 0cap on novo nordisk pen dialed to 80cap on fiasp flextouch disposable insulin fiasp dose delivery 1unit increments, up to 80 units at a time total capacity. Leave needle in your skin and keep pressing the button for at least 510 seconds. Aug 17, 2016 the insulin pen you utilize depends upon the type of insulin you call for, the variety of devices you commonly require each insulin shot, and also the offered pens for that insulin type. Insulin is a drug prescribed to treat type 1 and type 2 diabetes. A durable pen uses a replaceable insulin cartridge. Some people find that a pen is easier to use than a syringe. 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. Types of insulin common when its how soon when its how long insulin names usually taken it starts working it lasts working the most fastacting insulin novolog right before a meal 15 minutes 30 to 90 3 to 5 hours. The pens are used with replaceable needles, including the types having a common iso standard screw thread attachment and those.
Jul 27, 2019 insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. Understanding the wide variety of insulin preparations available will assist the clinician in guiding people with diabetes and their caregivers through the complexities of selfcare and promote safe and optimal glucose control. Insulin pens and their mechanisms abstract and introduction. Consider insulin pen if able for patients with vision, dexterity or cognition difficulties or for patient convenience. Insulin glulisine apidra, insulin lispro admelog, humalog, and insulin aspart fiasp, novolog. Stream a variety of exercise routines to get you moving and motivated. Different types of insulin work at different speeds in the body. Insulin is commonly used in the treatment of diabetes in the home care setting. Rapidacting insulin works very rapidly to lower the blood sugar. Chinese, simplified mandarin dialect bilingual pdf. Slower or longacting insulin is also called basal insulin.
We will now go into detail about the most common insulin we use. There are many types of insulin pens available with different brands and models of insulin pen are available. Overview of insulin and noninsulin delivery devices in the. Insulin therapy is a cornerstone of treatment in type 1 diabetes and, in many cases, also critical to the management of type 2 diabetes. Insulin pens are available in many models and brands.
The pens allow more simple, accurate, and convenient delivery than using a. P01904 022017 insulin is available from drug manufacturers in two basic packages vials and pens. Its no wonder, given that the pens are easier to use than traditional methods, and come with a whole range of benefits for people with diabetes. Rapidacting bolusmealtime insulins insulin novolog 510 minutes hours 35 hours clear nph, but only on the advice aspart of a doctor. Nov 21, 2018 insulin is a hormone that plays a central role in controlling blood sugar levels in the body. Insulin pens and their mechanisms page 2 the author, a type 2 diabetic, insulin dependent, has had extensive personal experience with all three of these pen types. Pens can be used for most insulin types insulin in prefilled pens and cartridges is sometimes more expensive than insulin provided in a vial if you need injections of different kinds of insulin, you may have to use more than one pen a small amount of insulin is wasted when the pen device is primed before injecting. Two general types of insulin pens are reusable insulin pens or disposable insulin pens.
Over the last decade or so, weve seen a tremendous growth in insulin pen usage compared to other insulin delivery devices. With all doses, large and small, the onset of action and the time to peak effect is similar, the duration of insulin action is, however. Although there are various brands as well as models in the market, many pens can be classified as disposable or reusable pens. Ddiabetes mellitus iabetes mellitus dm is a metabolic disorder resulting from a. The most common ways to inject insulin are through a vial and syringe needle, a pump, or an insulin pen. The needles on insulin pens can be found in various lengths as well as thicknesses, as well as most fit on all the offered insulin pens.
This is a combination of two different types of insulin. In general, pens are less painful and more convenient than syringes and. If mixed, aspart should be drawn into the syringe first, and the mix. Rapid acting insulin analogs insulin aspart, insulin lyspro, insulin glulisine which have an onset of action of 5 to 15 minutes, peak effect in 1 to 2 hours and duration of action that lasts 46 hours. You should see a drop of insulin on the tip of the pen. Strategies for insulin injection therapy in diabetes self. Reusable insulin pens you keep the outside pen part but replace the inside cartridge that contains the insulin. These factors include the type of diabetes you have, how much your blood sugar changes throughout the day and your lifestyle. The author, a type 2 diabetic, insulindependent, has had extensive personal experience with all three of these pen types. Common side effects include headache, nausea, tiredness, blurred vision, and excessive yawning. Diabetes forecast for many people with diabetes, insulin pens are a more convenient and portable option than vials and syringes. Compare common options for insulin therapy mayo clinic.
These companies produce pens for most of their insulins, including novolognovorapid, humalog, levemir and lantus. Glucosezone is a digital exercise program that provides you with personalized exercise guidance and support designed to help you achieve the diabetes and fitness results you want. People with diabetes produce either insufficient or ineffective insulin and often require shots of. The needles on insulin pens come in various sizes and densities, as well as most fit on all of the offered insulin pens.
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