Insulin injection types -
An insulin pump is a small programmable device that holds a reservoir of insulin and is worn outside the body. The insulin pump is programmed to deliver insulin into the fatty tissue of the body usually the abdomen through thin plastic tubing known as an infusion set or giving set.
Only rapid-acting insulin is used in the pump. The infusion set has a fine needle or flexible cannula that is inserted just below the skin. This is changed every 2 to 3 days.
The pump is pre-programmed by the user and their health professional to automatically deliver small continual amounts of insulin to keep blood glucose levels stable between meals. Individuals can instruct the pump to deliver a burst of insulin each time food is eaten, similar to the way the pancreas does in people without diabetes.
The insulin pump isn't suitable for everyone. If you're considering using one, you must discuss it first with your diabetes healthcare team. The cost of an insulin pump is generally covered by private health insurance for people with type 1 diabetes a waiting period applies.
Disposable extras required for use such as cannulas, lines and reservoirs are subsidised by the National Diabetes Service Scheme NDSS. Insulin is injected through the skin into the fatty tissue known as the subcutaneous layer.
It shouldn't go into muscle or directly into the blood, as this changes how quickly the insulin is absorbed and works. Absorption of insulin varies depending on where in the body it is injected. The abdomen absorbs insulin the fastest and is used by most people. The upper arms, buttocks and thighs have a slower absorption rate and can also be used.
Variation in insulin absorption can cause changes in blood glucose levels. Insulin absorption is increased by:. Used syringes, pen needles, cannulas and lancets must be disposed of in an Australian Standards-approved sharps container, which is puncture-proof and has a secure lid.
These containers are usually yellow and are available through pharmacies, local municipal councils and state or territory diabetes organisations such as Diabetes Victoria. Extreme hot or cold temperatures can damage insulin so it doesn't work properly.
It must not be left where temperatures are over 30 °C. In summer your car can get this hot above 30 °C so don't leave your insulin there. There are various insulated insulin carry bags such as FRIO available for transporting insulin. Keeping a record of your blood glucose levels helps you and your healthcare professional to know when your insulin dosage needs adjustment.
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On this page. Diabetes Type 1 diabetes Type 2 diabetes Gestational diabetes Insulin for diabetes Starting on insulin Types of insulin Insulin injection devices Insulin injection sites Factors that speed insulin absorption Factors that delay insulin absorption Disposal of used insulin syringes Insulin storage Insulin safety Record your blood glucose levels and insulin doses Where to get help.
Diabetes Diabetes mellitus diabetes is a chronic and potentially life-threatening condition where the body loses its ability to produce insulin, or begins to produce or use insulin less efficiently, resulting in blood glucose levels that are too high hyperglycaemia.
Type 1 diabetes Type 1 diabetes develops when the cells of the pancreas stop producing insulin. Type 2 diabetes Type 2 diabetes develops when the pancreas does not make enough insulin and the insulin that is made does not work as well as it should also known as insulin resistance.
Insulin for diabetes Insulin is a hormone our body makes to keep our blood glucose levels within the normal range. Starting on insulin People with type 1 diabetes must inject insulin every day, often up to 4 or 5 times per day.
They will teach you about: the type and action of your insulin how, where and when to inject insulin how to rotate injection sites where to get your insulin and how to store it safely how to manage low blood glucose how to keep a record of your blood glucose levels and insulin doses who will help you to adjust insulin doses.
Types of insulin Insulin is grouped according to how long it works in the body. The 5 types of insulin are: rapid-acting insulin short-acting insulin intermediate-acting insulin mixed insulin long-acting insulin.
Rapid-acting insulin Rapid-acting insulin starts working somewhere between 2. The 3 rapid-acting insulin types currently available in Australia are: Fiasp and NovoRapid® insulin aspart Humalog® insulin lispro Apidra® insulin glulisine. Short-acting insulin Short-acting insulin takes longer to start working than the rapid-acting insulins.
Short-acting insulins currently available in Australia are: Actrapid® Humulin® R. Intermediate-acting insulin Intermediate-acting and long-acting insulins are often termed background or basal insulins.
The intermediate-acting insulins are cloudy in nature and need to be mixed well. Intermediate-acting insulins currently available in Australia are: Humulin® NPH a human isophane insulin Protaphane® a human isophane insulin.
Long-acting insulin The long-acting insulins currently available in Australia are: Lantus® glargine insulin — slow, steady release of insulin with no apparent peak action.
One injection can last up to 24 hours. It is usually injected once a day but can be taken twice daily. Toujeo glargine insulin — this insulin has a strength of units per ml so is 3 times the concentration of other insulin in Australia. It is given once a day and lasts for at least 24 hours.
It should not be confused with regular Lantus which has a strength of units per ml. Toujeo is given for safety by a disposable pen only.
Toujeo gives a slower, steadier glucose profile especially during the night. Levemir® detemir insulin — slow, steady release of insulin with no apparent peak action and can last up to 18 hours.
It is usually injected twice daily. Although these insulins are long-acting, they are clear and do not need mixing before injecting. Mixed insulin Mixed insulin contains a pre-mixed combination of either very rapid-acting or short-acting insulin, together with intermediate-acting insulin.
Note In Australia, the strength of the above insulins is units per ml. Insulin injection devices Different insulin delivery devices are available.
Insulin syringes Syringes are manufactured in unit 0. Insulin pens Insulin companies have designed insulin pens disposable or reusable to be used with their own brand of insulin.
Insulin pumps An insulin pump is a small programmable device that holds a reservoir of insulin and is worn outside the body. Insulin injection sites Insulin is injected through the skin into the fatty tissue known as the subcutaneous layer.
Factors that speed insulin absorption Variation in insulin absorption can cause changes in blood glucose levels. Insulin absorption is increased by: injecting into an exercised area such as the thighs or arms high temperatures due to a hot shower, bath, hot water bottle, spa or sauna massaging the area around the injection site injecting into muscle — this causes the insulin to be absorbed more quickly and could cause blood glucose levels to drop too low.
Factors that delay insulin absorption Insulin absorption can be delayed by: over-use of the same injection site, which causes the area under the skin to become lumpy or scarred known as lipohypertrophy insulin that is cold for example, if insulin is injected immediately after taking it from the fridge cigarette smoking.
Disposal of used insulin syringes Used syringes, pen needles, cannulas and lancets must be disposed of in an Australian Standards-approved sharps container, which is puncture-proof and has a secure lid.
Procedures to dispose of sharps containers vary from state to state. For sharps disposal information and help, you can contact: state or territory diabetes organisations, such as Diabetes Victoria state Department of Health your local municipal council.
Insulin storage Insulin needs to be stored correctly. This includes: Store unopened insulin on its side in a fridge. Keep the fridge temperature between 2 and 8 °C.
Make sure that insulin does not freeze. Once opened, keep it at room temperature less than 25 °C for not more than one month and then dispose of it safely. Avoid keeping insulin in direct sunlight. Insulin safety Don't use insulin if: clear insulin has turned cloudy cloudy insulin has lumps or flakes in it, or deposits of insulin are visible on the inside of the vial, penfill or cartridge and cannot be dissolved by gentle rotation expiry date has been reached it has been frozen or exposed to high temperatures a vial, penfill or cartridge has been used or has been out of the fridge for longer than one month.
Record your blood glucose levels and insulin doses Keeping a record of your blood glucose levels helps you and your healthcare professional to know when your insulin dosage needs adjustment. Where to get help Your GP doctor Diabetes nurse educator Local community health service National Diabetes Services Scheme External Link Tel.
Type 1 diabetes External Link , Diabetes Victoria. Type 2 diabetes External Link , Diabetes Victoria. Diagnosis External Link , Diabetes Victoria.
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These synthetic-made insulins are called analogs of human insulin. However, they have minor structural or amino acid changes that give them special desirable characteristics when injected under the skin. Once absorbed, they act on cells like human insulin, but are absorbed from fatty tissue more predictably.
Injectiob of Marchsix types of insulin exist to treat diabetes. Your Insulun choices Preventive measures for individuals with pre-diabetes by how soon they start to Detoxifying body through massage onsetwhen they reach their full effect peak Detoxifying body through massage, and how long they onjection stay in your system duration. The types of insulin you can choose to treat your diabetes include rapid-acting, short-acting, intermediate-acting, long-acting, ultra-long-acting, and pre-mixed. You can take many of them in various ways, including inhalers, small needles, or pumps. Read on to learn more about the types and how to choose the one that's right for you. Your pancreas makes typically enough insulin to regulate your blood sugar levels, so they don't get too low or too high. Patient Education Hypes Detoxifying body through massage Click on the hamburger icon three lines Ttpes the Indulin right corner of the video to watch other videos Indulin the playlist. Insulin is a medication used to manage diabetes. It helps to control blood sugar levels. In this handout, you will learn about different types of insulin and how they work. Insulin glargine also called Lantus® or Basaglar® Insulin detemir also called Levemir® Insulin degludec also called Tresiba®.
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