Insulin is a hormone that your pancreas makes to permit cells to use glucose. When your body isn’t making or using insulin properly, you can take manufactured insulin to help control your blood sugar.
Many types of insulin can be used to treat diabetes during insulin therapy. They’re typically explained by how they affect your body.
- Rapid-acting insulin starts to work within a couple of minutes and lasts for a number of hours.
- Routine- or short-acting insulin takes about 30 minutes to work completely and lasts for 3 to 6 hours.
- Intermediate-acting insulin takes 2 to 4 hours to work fully. Its results can last for as much as 18 hours.
- Long-acting insulin can work for an entire day.
Your doctor may prescribe more than one type. You may have to take insulin more than once daily, to space your dosages throughout the day, and possibly to also take other medications.
How Do I Take It?
Many people get insulin into their blood utilizing a needle and syringe, a cartridge system, or pre-filled pen systems.
The place on the body where you offer yourself the shot may matter. You’ll soak up insulin the most regularly when you inject it into your belly. The next best places to inject it are your arms, thighs, and buttocks. Make it a habit to inject insulin at the same general area of your body, but alter the exact injection spot. This helps minimize scarring under the skin.
Inhaled insulin, insulin pumps, and a quick-acting insulin device are also available.
Also read: Diabetes and Insulin Pens
When Do I Take It?
It will depend upon the type of insulin you use. You want to time your shot so that the glucose from your food enters into your system at about the same time that the insulin begins to work. This will assist your body use the glucose and prevent low blood sugar responses.
For instance, if you use a rapid-acting insulin, you ‘d likely take it 10 minutes before and even with your meal. If you use routine- or intermediate-acting insulin, you need to normally take it about a half-hour prior to your meals, or at bedtime. Follow your doctor’s recommendations.
The major ones consist of:
- Low blood sugar level
- Weight gain when you first start using it
- Lumps or scars where you’ve had too many insulin injections
- Rash at the site of injection or, seldom, over your entire body
With inhaled insulin, there’s an opportunity that your lungs might tighten unexpectedly if you have asthma or the lung disease COPD.
Saving Injectable Insulin
Constantly have two bottles of each type you use on hand. You don’t need to refrigerate vials of insulin that you’re utilizing. An excellent guideline is that if the temperature is comfy for you, the insulin is safe. You can store the bottle that you’re utilizing at space temperature (not higher than 80 F) for 30 days. You don’t desire it to get too hot or too cold, and keep it from direct sunshine.
You need to keep your additional backup bottles in the refrigerator. The night before you’re going to begin using a brand-new bottle, take it out and let it warm up. Don’t let your insulin freeze.
Always take a look at your insulin inside the bottle prior to you draw it into the syringe. Rapid-acting, short-acting, and certain long-acting types must be clear. Other forms might look cloudy, however they should not have clumps.
If you carry a bottle with you, beware not to shake it. That makes air bubbles, which can alter the quantity of insulin you get when you withdraw it for an injection.
For insulin pens, examine the bundle insert for storage guidelines.
Also read: Insulin Pen Needles
Storing Inhaled Insulin
Examine the directions on the package. You need to keep a sealed package in the refrigerator up until you’re ready to start using it. If you do not, you need to use it within 10 days.
You can refrigerate plans you’ve opened, but let a cartridge warm up to space temperature for 10 minutes prior to you use it.
What Type of Insulin Is Best for My Diabetes?
Your doctor will deal with you to recommend the type of insulin that’s best for you and your diabetes. Making that option will depend on numerous things, including:
- How you respond to insulin. (How long it takes the body to absorb it and for how long it remains active differs from person to person.)
- Lifestyle options. The kind of food you eat, how much alcohol you drink, or how much workout you get will all affect how your body uses insulin
- Your desire to offer yourself numerous injections per day
- How often you examine your blood glucose
- Your age
- Your objectives for managing your blood glucose
Afrezza, a rapid-acting inhaled insulin, is FDA-approved for use before meals for both type 1 and type 2 diabetes. The drug peaks in your blood in about 15-20 minutes and it clears your body in 2-3 hours. It must be used in addition to long-acting insulin in people with type 1 diabetes.
Read more: Inhaled Insulin Afrezza
The chart listed below lists the types of injectable insulin with information about start (the length of time before insulin reaches the blood stream and begins to reduce blood sugar), peak (the time period when it best lowers blood glucose) and period (the length of time insulin continues to work). These three things may vary. The final column uses some insight into the “protection” offered by the various insulin key relation to mealtime.
|Type of Insulin & Brand Names||Onset||Peak||Duration||Role in Blood Sugar Management|
|Lispro (Humalog)||15-30 min.||30-90 min||3-5 hours||Rapid-acting insulin covers insulin needs for meals consumed at the exact same time as the injection. This kind of insulin is typically used with longer-acting insulin.|
|Aspart (Novolog)||10-20 min.||40-50 min.||3-5 hours|
|Glulisine (Apidra)||20-30 min.||30-90 min.||1-2 1/2 hours|
|Regular (R) or novolin||30 min. -1 hour||2-5 hours||5-8 hours||Short-acting insulin covers insulin requirements for meals eaten within 30-60 minutes.|
|Velosulin (for use in the insulin pump)||30 min.-1 hour||1-2 hours||2-3 hours|
|NPH (N)||1-2 hours||4-12 hours||18-24 hours||Intermediate-acting insulin covers insulin needs for about half the day or overnight. This kind of insulin is typically integrated with a fast- or short-acting type.|
|Insulin glargine (Basaglar, Lantus, Toujeo)||1-1 1/2 hours||No peak time. Insulin is delivered at a steady level.||20-24 hours||Long-acting insulin covers insulin requirements for about one full day. This type is frequently combined, when required, with quick- or short-acting insulin.|
|Insulin detemir (Levemir)||1-2 hours||6-8 hours||Up to 24 hours|
|Insulin degludec (Tresiba)||30-90 min.||No peak time||42 hours|
|Humulin 70/30||30 min.||2-4 hours||14-24 hours||These products are usually taken two or three times a day prior to mealtime.|
|Novolin 70/30||30 min.||2-12 hours||Up to 24 hours|
|Novolog 70/30||10-20 min.||1-4 hours||Up to 24 hours|
|Humulin 50/50||30 min.||2-5 hours||18-24 hours|
|Humalog mix 75/25||15 min.||30 min.-2 1/2 hours||16-20 hours|
|*Premixed insulins combine specific quantities of intermediate-acting and short-acting insulin in one bottle or insulin pen. (The numbers following the brand name suggest the percentage of each kind of insulin.)|
How Are Doses Scheduled?
Follow your doctor’s guidelines on when to take your insulin. The time period between your shot and meals might vary depending on the type you use.
In basic, however, you ought to coordinate your injection with a meal. From the chart on page 1, the “start” column shows when the insulin will start to work in your body. You want that to happen at the exact same time you’re taking in food. Good timing will assist you prevent low blood sugar levels.
- Fast acting insulins: About 15 minutes before mealtime
- Short-acting insulins: 30 to 60 minutes before a meal
- Intermediate-acting insulins: Up to 1 hour prior to a meal
- Pre-mixed insulins: Depending on the item, in between 10 minutes or 30 to 45 minutes before mealtime
Also read: Insulin Pump: How to Use?
Exceptions to Insulin Dosing and Timing
Long-acting insulins aren’t tied to mealtimes. You’ll take detemir (Levemir) one or two times a day anytime you eat. And you’ll take glargine (Basaglar, Lantus, Toujeo) once a day, constantly at the very same time. Deglutec is taken as soon as a day, and the time of day can be versatile. But some people do have to match a long-acting insulin with a shorter-acting type or another medication that does need to be taken at meal time.
Rapid-acting products can likewise be taken right after you eat, rather than 15 minutes prior to mealtime. You can take a few of them at bedtime.
To learn more about when to take insulin, checked out the “dosing and administration” section of the insulin item plan insert that came with your insulin item, or talk with your doctor.
Also read: Insulin Pumps: Feautures