Diabetes Control Matters
Insulins Available In The U.S.
Insulin can be grouped into four categories, depending on
when it starts working (onset), when it works best (peak),
and how long it lasts (duration). A fifth category is also
available and includes pre-mixed combinations. Your doctor
will design an insulin combination that best suits your individual
routine.
Most people need more than one kind of insulin to meet their
needs. Keep in mind that no insulin type works exactly the
same for everyone. Some factors that affect the insulin's
action are: Your age, where you inject the insulin, and how
much you inject. It might take some experimenting, but by
working with your doctor and diabetes educator you can find
a combination that's right for you.
Insulin Absorption & Site Selection
Absorption depends on the type of insulin, the species of
insulin, the site of injection, the dosage, exercise, temperature,
and whether the site is massaged.
| Injection Site |
Absorption Rate |
| Abdomen |
Fastest (preferred) |
| Arm |
Fast |
| Thigh |
Slower |
| Buttocks |
Slowest |
Can I use Pre-Mixed Insulin?
Pre-mixed insulin is handy for people whose insulin plans
don't change often. It is also helpful for people who
have trouble measuring their insulin doses. However, if your
lifestyle causes you to change your insulin plan sometimes,
mixing your own insulin will give you more flexibility. Discuss
your typical schedule with your doctor to decide if pre-mixed
insulin is a good choice for you.
Special Considerations For Illness
- Always take your insulin when you are sick.
- If you can not eat take liquids that contain
carbohydrate (sugar) every hour
1/2 c. juice
1/4 c. regular pudding
1/4 c. custard
1/4 c. regular Jell-O
1/2 c. ice cream
1 c. cream soup
- Test your blood sugars before every meal and at
bedtime.
- Ask your physician for specific blood glucose
ranges for when to contact the office.
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