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Insulin aspart
Type, Brand, Onset, Peak, Duration
- Type: Rapid-acting
- Brand: Novolog
- Onset: 0.25
- Peak: 1-3
- Duration: 3-5
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Human lispro injection
Type, Brand, Onset, Peak, Duration
- Type: Rapid-acting
- Brand: Humalog
- Onset: 0.25
- Peak: 0.5-1.5
- Duration: 5
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Regular human insulin injection
Type, Brand, Onset, Peak, Duration
- Type: Short-acting
- Brand: Humulin R (anything R)
- Onset: 0.5
- Peak: 2-4
- Duration: 5-7
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Isophane Insulin NPH injection
Type, Brand, Onset, Peak, Duration
- Type: Intermediate-acting
- Brand: Humulin N (anything N)
- Onset: 1.5
- Peak: 4-12
- Duration: 16-24+
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Insulin glargine injection
Type, Brand, Onset, Peak, Duration
- Type: Long-acting
- Brand: Lantus
- Onset: 2-4
- Peak: None
- Duration: 24
Never mix; Given at bedtime
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Insulins that are cloudy/clear?
- Clear: rapid-acting, short-acting & glargine (long-acting)
- Cloudy: All intermediate-acting
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Steps for insulin dose with mixed types?
- 1. Inject air-dose into NPH (intermediate-acting) [all cloudy]
- 2. Inject air-dose into regular, short-acting [all non-NPH are "clear"*]
- 3. Withdraw regular short-acting (clear) first.
- 4. Withdraw [all coudy insulins] last without injecting any of the first draws into the bottle.
Air to Cloudy then Clear. Draw Clear then Cloudy.
*glargine is clear, but is never mixed, and is usually given at hs
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