How to mix short-acting (articulate) insulin and intermediate-acting (cloudy) insulin

Step ane: Roll and clean

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Launder and dry your hands. Roll the cloudy (intermediate-interim) bottle of insulin between your palms 10 times gently. Do not shake vigorously. Clean the tiptop of vial with an alcohol swab.

Step two: Add together air to cloudy (intermediate-interim) insulin

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Draw the required amount of air (equal to the dosage of cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Practice not depict out any insulin, and remove the syringe and needle.

Stride three: Add air to clear (short-interim) insulin

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Using the aforementioned 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.

Step four: Withdraw clear (short-acting) insulin beginning, then cloudy (intermediate-acting) insulin

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With the insulin syringe and needle attached, turn the clear insulin bottle upside downwardly, with the needle bevel inside the insulin, withdraw the required amount of clear insulin into the syringe.

Then do the same with the cloudy insulin. Always withdraw clear insulin kickoff earlier withdrawing cloudy insulin. Ensure the total dose of articulate and cloudy insulin is correct. If overdrawn, discard and repeat.

"Not all types of insulin are suitable to be mixed. If in doubt, please check with your chemist or diabetes nurse educator," say nurses from the Department of Specialty Nursing at Singapore General Hospital (SGH), a member of the SingHealth group.

Key reminders

  • Look out for the expiry date on the bottle
  • Write downwardly the date and time of opening on the canteen
  • Discard vial four weeks from date of opening
    Refer to manufacturer's / chemist's recommendation
  • Do not use the insulin if it is discoloured, has lumps or flakes, is frozen or heated

Run into previous folio to acquire how to depict up insulin into a syringe.

See next page to find out how to administer insulin with a syringe.

Nosotros Desire TO HEAR FROM YOU!

Exercise yous have Type 1 diabetes (and are in a higher place 21-years-erstwhile) or have a child with Type 1 diabetes?

Hitting this link to take part in the Type one Diabetes Technology Survey, conducted past Singapore Full general Hospital (SGH). Help u.s.a. to understand the level of awareness and satisfaction with diabetes-related technology in Singapore.

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Ref: O17