Download Injectable Medications for Blood Sugar Management

Injectable Medications for Blood Sugar Management
Types of Insulin
Onset
Maximum Effect
Duration
Available Forms
Looks Like
Storage
Humalog (Lispro)
0–15 Minutes
30–90 Minutes
3–5 Hours
Lilly: Vial, Disposable Pen, Penfill Cartridge
28 days, once in use
NovoLog (Aspart)
0–15 Minutes
60–120 Minutes
3–5 Hours
Novo Nordisk: Vial, Disposable Pen (Flexpen), Penfill Cartridge
28 days, once in use
Apidra (Glulisine)
0–15 Minutes
1–2 Hours
3–4 Hours
Sanofi-Aventis: Vial, Penfill Cartridge (Opticlix)
28 days, once in use
Lilly Humulin: Vial
28 days, once in use
Novo Nordisk Novolin: Vial, Penfill Cartridge, InnoLet
28 days, once in use
Lilly: Vial, Disposable Pen
Vial: 28 days, once in use
Novo Nordisk: Vial, Penfill Cartridge, InnoLet
Pen: 14 days, once in use
Regular
NPH
1/2–1 Hours
1.5–4 Hours
2–3 Hours
4–12 Hours
3–6 Hours
12–18 Hours
Lantus (Glargine)
1–2 Hours
Flat
24 Hours
Sanofi-Aventis: Vial, Penfill Cartridge (Opticlix)
Do not mix Lantus with any other insulin.
28 days, once in use
Levemir (Detemir)
0.8–2 Hours
3.2–9.3 Hours
(Dose Dependent)
Up to 24 Hours
Novo Nordisk: Vial, Disposable Pen (Flexpen)
Vial: 42 days, once in use
Pen: 42 days, once in use
Lilly: Vial, Disposable Pen
Vial: 28 days, once in use
Pen: 10 days, once in use
Novo Nordisk: Vial, Penfill Cartridge, InnoLet
28 days, once in use
Humulin or Novolin 70/30
70% Isophane Suspension (intermediate acting insulin)
30% Regular
Humulin 50/50
50% Isophane Suspension (intermediate acting insulin)
50% Regular
Lilly: Vial
28 days, once in use
Humalog Mix 50/50
50% Lispro Protamine Suspension (NPL) (intermediate acting)
50% Humalog
Lilly: Vial, Disposable Pen
Vial: 28 days, once in use
Pen: 10 days, once in use
Humalog Mix 75/25
75% Lispro Protamine Suspension (NPL) (intermediate acting)
25% Humalog
Lilly: Vial, Disposable Pen
Vial: 28 days, once in use
Pen: 10 days, once in use
NovoLog Mix (70/30)
70% Aspart Protamine Suspension (intermediate acting)
30% NovoLog
Novo Nordisk: Vial, Disposable Pen (Flexpen), Penfill Cartridge
Vial: 28 days, once in use
Pen: 14 days, once in use
Store unused vials, cartridges and disposable pens in the refrigerator. Humulin and Novolin are brand names, not types of insulin.
Insulin Devices
Looks Like
Novopen 3 (For use with Penfill Cartridge)
Novo Nordisk Devices
Flexpen (Disposable Pen)
Innolet (Disposable Device)
Lilly Device
Disposable Pen
Sanofi-Aventis Device
Opticlix (Permanent Pen)
Drug
What It Is
How Given
Side Effects
Available Forms
Synthetic analog
of human amylin,
for type 1 or 2.
Decrease gastric emptying,
increases satiety, decreases
after meal glucagon,
decreases after meal
glucose excursion.
Subcutaneous injection,
15 –120 micrograms at main
part of meal (use conversion
chart at right for units
needed in U-100 syringe).
Inject in abdomen or thigh,
not arm, 2 inches from
insulin injection, not mixing
with insulin.
Hypoglycemia (decrease
premeal insulin dosages
30-50%, including premixed
insulins), anorexia, nausea,
vomiting (titrate dose
weekly if tolerated).
Vial
Incretin Mimetic
Increases insulin secretion,
decreases liver sugar
output, decreases rate
sugar enters blood,
decreases food intake.
Pen injection: 5 micrograms
first month, 10 micrograms
next month if tolerated.
Twice daily, within 60
minutes before first meal
and evening meal, at least
6 hours apart.
Hypoglycemia with
sulfonylureas, nausea,
vomiting, dizziness, feeling
jittery, headache.
5 mcg Pen
10 mcg Pen
Symlin (pramlintide)
Byetta (exenatide)
Action
Looks Like
Diabetes Educators: Call 1-800-635-2288 for information or patient brochures.
Medicare Part B patients: Call 1-877-231-5199 and mention reference code EDO6500 to order your diabetes testing supplies.
Website: www.PrescriptionSolutions.com/diabetes
The information in this educational tool does not substitute for the medical advice, diagnosis or treatment of your physician. Always seek the help of your physician or qualified health provider for any questions you may have regarding a medical condition.
Prescription Solutions is an affiliate of UnitedHealthcare Insurance Company.
HCP-MSS07-001-JJ 1/09
Symlin Dose
Prescribed
Increment Using
U-100 Syringes (Units)
15 mcg
30 mcg
45 mcg
60 mcg
120 mcg
2.5 units
5.0 units
7.5 units
10 units
20 units