Mixing insulin. Cathy Parkes. Share to Twitter. Share to Facebook. Share to Pinterest. Share to Email. They begin to work 1 hour after injection and peak at hours after injection. They last for hours in the body. Intermediate insulins are often given before breakfast or they may also be given at bedtime, depending on your blood glucose reading.
They can be mixed in the same syringe with Regular, Lispro, and Aspart insulins. Ultralente insulin is long-acting insulin. Ultralente insulin is a cloudy suspension that begins to work hours after injection and peaks at about 12 hours. They last for around hours in the body. It can be mixed in the same syringe with regular insulin and when unopened, it is best stored in the refrigerator. Another long-acting insulin is called Glargine insulin. It is an insulin analog manufactured by recombinant DNA technology.
Unlike other long-acting insulins, Glargine insulin is a clear solution of insulin that begins to work around 1 hour after injection without a pronounced peak. Small amounts of Glargine insulin are released slowly to provide a relatively constant amount of insulin in the body over 24 hours.
A change to Glargine from NPH insulins should be done under the close supervision of a medical team. These mixtures begin to work around 30 minutes after injection and peak in hours.
It lasts up to 24 hours in the body. As these premixed insulins contain rapid or very rapid acting insulin, they should be taken before meals as directed by your medical team. Once mixed, the combined injection must be given immediately or the effect of the regular component of the injection will be diminished. This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering.
Using the same syringe and needle, draw the required amount of air equal to the dosage for clear insulin into the insulin syringe. Inject air into the clear insulin vial. With the insulin syringe and needle attached, turn the clear insulin bottle upside down, with the needle bevel within the insulin, withdraw the required amount of clear insulin into the syringe.
Then do the same with the cloudy insulin. Always withdraw clear insulin first before withdrawing cloudy insulin. Ensure the total dose of clear and cloudy insulin is correct. If overdrawn, discard and repeat. See previous page to learn how to draw up insulin into a syringe. See next page to find out how to administer insulin with a syringe.
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