From rapid acting to long acting, from animal insulin through to analogue insulins. Insulin chart this chart contains information about different types of insulins. Insulin is a drug prescribed to treat type 1 and type 2 diabetes. Pdf insulin preparations are the mainstay in the management of type 1 along.
Rosedale was one of the first to speak throughout the world detailing the critical importance of insulin to health and disease. Animal insulin, as the name suggests, comes from animals. Human insulin is misleading as it doesnt, in fact, come from humans. Indications, pharmacology, dosage and administration, adverse effects, and precautions and contraindications. This book includes data on all types of insulin, mixing insulins, and absorption rates, as well as complete action profiles of different insulins and prescription recommendations for mdi, pump therapy, and patients with type 2 diabetes. Types, preparations, drug interactions, dosage, and pregnancy and breastfeeding safety information are provided. Slower or longacting insulin is also called basal insulin. Common side effects include headache, nausea, tiredness, blurred vision, and excessive yawning. New or analogue insulins are molecularengineered formulations designed to improve the pharmacokinetics, absorption profile and duration of action of human insulin. There are different types of insulin depending on how quickly they work, when they peak, and how long they last. This chart breaks down the types of insulin, their duration, and the different brands available. If using this site, do not use the area within one inch of your belly button. Insulin lispro protamineinsulin lispro humalog mix5050, humalog mix7525.
Insulin is used in the treatment of people with type 1 diabetes who produce little or no insulin. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Rapidacting insulin insulin aspart fiasp novo nordisk analog syringe or pen 2. Popular types of slowacting insulin in the uk include.
An overview on the insulin preparations and devices. Is absorbed quickly from your fat tissue subcutaneous into the bloodstream. Therefore, insulin analogs are analogs that have been designed to mimic the bodys natural pattern of insulin release. Premixed insulin combines specific proportions of intermediateacting and short or rapidacting insulin in one bottle or insulin pen. Insulin and its metabolic effects this information was ground breaking and way before its time, and to this day this information is still new to the vast majority of doctors in 2011. Insulins also are classified by the timing of their action in your body specifically, how quickly they start to act, when they have a maximal effect and how long they act. Theyre grouped by how fast they start to work and how long their effects last. However, it is important to remember that the type and timing of insulin is different for each person. With the newfound ability to tweak insulins dna, scientists soon developed other types of insulins called insulin analogs.
Is used to control the blood sugar during meals and snacks and to correct high blood sugars. All insulin available in the united states is manufactured in a laboratory, but. Pdf an overview on the insulin preparations and devices. Glucosezone is a digital exercise program that provides you with personalized exercise guidance and support designed to help you achieve the diabetes and fitness results you want. Ppt understanding different types of insulin powerpoint. As a medical practitioner, you have to take the national council licensure examination before you are allowed to practice. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. There are many agencies that provide free insulin and cheap diabetic supplies to patients. Types of insulin and how they work there are many types of insulin. There are so many types of insulins available today that figuring out which is the right option for you can be very complex. On the basis of aetiology, the term type i and type ii were widely used to describe iddm and niddm, respectively.
Bolus insulins such as aspart, glulisine, or lispro are shorteracting agents given to manage glucose increase in response to food intake. Rapidacting bolusmealtime insulins insulin novolog 510 minutes hours 35 hours clear nph, but only on the advice aspart of a doctor. The preparation should be free of large aggregates following. The numbers following the brand name indicate the percentage of each type. Stream a variety of exercise routines to get you moving and motivated. The types vary based on how fast they start to provide insulin, when their peak period of action is and for how long insulin in supplied. An analog refers to something that is analogous or similar to something else.
Lantus should not be mixed together in a syringe with any other form of insulin before use. Because of this, it has been noted that the ultralong version has resulted in less frequent symptomatic hypoglycemia. We talk about medications used such as humalog, novolog. Insulin degludec is an example of an ultralongacting basal insulin that has a duration of action of longer than 24 hours and lower daytoday variability than the regular longacting insulin. Time periods listed here are general guidelines only. The firstgeneration analogues rapid and long acting analogues, and the secondgeneration, newer longacting analogues have been summarised in table 1. This introduction to insulin explains how insulin works and the many different types of insulin that exist today.
Rapidacting insulin works very rapidly to lower the blood sugar. Insulin pocketcard concentrated insulins available see next page for details. Being able to alter genes allowed scientists to formulate insulins that would work faster or slower than regular old human insulin, making it easier for those with diabetes to better manage their blood sugars. Watch a story about andy and how he learns the four types of insulin.
We will now go into detail about the most common insulin we use. This handout contains general information on diabetes medication. Human insulin and insulin analogs are available for insulin replacement therapy. Insulins are categorized by differences in onset, peak, duration, concentration, and route of delivery. Free insulin for a year from noro nordisk noro nordisk is one of the three manufacturers of insulin. This 30page printable pdf includes rapidacting, shortacting, intermediateacting, longacting, and premixed or combination insulins. Th e term juvenile onset diabetes has sometimes been. It may also be used in the treatment of type 2 diabetes if insulin levels remain low despite the use of other types of medications, although most people with type 2 diabetes do not require insulin in the early stages of the disease.
Also a type of mealtime insulin, shortacting insulin is taken about 30 minutes before a meal. Premixed insulins combine specific amounts of intermediateacting and shortacting insulin in one bottle or insulin pen. When administering insulin, the nurse must keep in mind that which is most immediate and serious adverse effect of insulin therapy. When these types of insulin sit for even a few minutes, the buffered insulin settles to the bottom of the vial. Steps to draw up and inject insulin injection sites insulin injections are given into fatty tissue. In fact, all of the major insulin manufacturers offer free insulin to low income patients. Intermediate and longacting insulins contain added substances buffers that make them work over a long time and that may make them look cloudy. Types of insulin there are many types of insulin available today. Nph humulin n, novolin n, relion longacting insulin reaches the bloodstream several hours after injection and tends to lower glucose levels up to 24 hours. About 5 hours insulin aspart novolog novo nordisk analog syringe, pen, or pump 10 to 20 min. Winner of the standing ovation award for best powerpoint templates from presentations magazine. With type 2 diabetes, insulin metabolism is altered.
Insulin pharmacology, therapeutic regimens, and principles of. America has long taken a free market approach to pharmaceuticals. Different types of insulin work at different speeds in the body. Your doctor may prescribe a mixture of insulin types to use throughout the day and night. Insulins novolog novolog mix 7030 dose delivery 1unit increments, up to 60 units at a time total capacity 300 units details pen is blue, with different colored labels, cartridge holders, and dosing knobs for various types of insulin. Fastacting, intermediateacting and longacting insulin.
In addition, there are two different types of combination insulins, including. This chart will help you understand how the various medications work. Insulin preparations are the mainstay in the management of type 1 along with various type 2. Common brands and various types of insulin for diabetics. Doctors may prescribe several different types of insulin. How many difference insulin are there,and what are they. Insulin analogs have been developed because human insulins have limitations when injected under the skin. There are also possible combinations of insulin types that can be used to address immediate needs and longer term needs for the purpose of maintaining blood glucose levels. But insulin glargine and insulin detemir are clear liquids not cloudy. A person with type 2 diabetes either has a system that does not accurately recognize elevated glucose their regulator is off, or is not producing enough insulinwhat often happens is that poor glucose control causes an increased production of insulin, which causes the beta cells cells that. Insulin aspart protamineinsulin aspart novolog mix 5050, novolog mix 7030. Dial returns to zero after injection to indicate delivery. The cost of the four most popular types of insulin has tripled over the past decade. Diabetes mellitus may be categorized into several types but the two major types are type i and type ii 21, 23.
Information for the noninsulin agents, byetta and symlin, is located at the end of the chart. For each insulin listed below, place in order from shortest duration 1 to longest duration 4. Basal insulins deliver a steady supply of insulin that helps control blood sugar levels over time. Mixtures of insulin can sometimes be combined in the same syringe, for example, intermediateacting and rapid or shortacting insulin. Rapidacting insulin is generally the only type of insulin used in an insulin pump longeracting insulins are never used in a pump.
Types of insulin common when its how soon when its how long insulin names usually taken it starts working it lasts working the most fastacting insulin novolog right before a meal 15 minutes 30 to 90 3 to 5 hours humalog minutes apidra longacting insulin lantus 30 minutes before the 1 hour steady up to 24 hours. A handbook for prescribing providers 3rd edition pdf free. Areas of fatty tissue are shaded in the image below. Review of insulin and its analogues in diabetes mellitus. Insulin glargine lantus this takes effect after an hour and can last for 24 hours. Often combined, when needed, with rapid or shortacting insulin. In india all types of insulins are available as 40. Slowacting insulins also known as longacting, basal or background insulins provide your body with the background insulin it needs throughout the day and night. Lowers blood glucose levels when rapidacting insulins stop working. Comprehensive list of insulins diabetes in control. If mixed, aspart should be drawn into the syringe first, and the mix. Shortacting human insulin also called regular insulin starts to work in 30 minutes, peaks at 23 hours, and lasts for 58 hours intermediateacting insulin also called nph starts to work in 24 hours, peaks at 410 hours, and lasts for 1016 hours premixed combinations of short and intermediateacting insulin are also available. Insulin can be categorised by how the insulin is derived and how quickly it acts.