Insulin Flashcards
When should insulin be used as the initial treatment for T2DM?
A1C > 10 or BG ≥ 300
How to initiate insulin in T2DM?
- Add basal insulin: 10 units SC daily or 0.1-0.2 units SC/kg/day
- Add prandial insulin (if FPG not at goal or signs that prandial insulin is needed): 4 units or 10% of basal dose SC QD prior to largest meal
- If A1C still not at goal → full basal/bolus regimen (basal insulin daily + prandial insulin before each meal) or mixed insulin regimen (NPH BID + short/rapid self-mixed or premixed)
Room temperature stability of
Humalog Mix 50/50 pen
10 days
Room temperature stability of
Humalog Mix 75/25 pen
10 days
Room temperature stability of
Humulin 70/30 pen
10 days
Room temperature stability of
Humulin N pen
14 days
Room temperature stability of
Novolog Mix 70/30 pen
14 days
Room temperature stability of
Humulin R U-100 vial
31 days
Room temperature stability of
Humulin N vial
31 days
Room temperature stability of
Humulin 70/30 vial
31 days
Room temperature stability of
Humulin R U-500 vial
40 days
Room temperature stability of
Novolin R U-100 vial
42 days
Room temperature stability of
Novolin N vial
42 days
Room temperature stability of
Novolin 70/30 vial
42 days
Room temperature stability of
Levemir vial
42 days
Room temperature stability of
Levemir pen
42 days
Room temperature stability of
Tresiba pen
56 days
Room temperature stability of
Toujeo pen
56 days