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What Insulins Can Be Mixed Together In One Syringe?

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Can You Mix Levimir With Humalog In One Syringe ?

Can you Mix Levimir with Humalog in one syringe ? Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. Can you Mix Levimir with Humalog in one syringe ? According to Gary Scheiner " Think Like a Pancreas " (2004 edition) Detimir ( Levemir ) can be mixed with a fast acting insulin. However most other sources state that you can not mix them. Has anyone tried mixing Levemir and Humalog with success ? You can't mix them in the same syringe. What Scheiner means is you can take them at the same time - you just do two injections in different parts of your body. I'd defer to the manufacturers with this, who state explicitly not to mix. AFAIK mixing won't make the world explode but studies suggest it may change the profile of one or both, an x factor you could do without. " Lantus must be given in it's own syring (it can not be mixed with other insulins, meaning that a lot of injections will be necessary. Detemir may be mixed with fast acting insulin." I'm pretty sure that means that Scheiner is saying mixing in the same syringe. ( Not 2 injections in different par Continue reading >>

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  1. ginski326

    Mixing N & R in same syringe

    My doctor just switched me to a 100 unit syringe. I usually do 2 injections - N & R. Now I can do only one if I put them both in the bigger syringe. Does it matter what order they go in?

  2. furball64801

    I have to ask are you taking both at the same time, did I miss something is your dose high enough you cant take more than one injection per day. Do you also not have more than one syringe you can use, I dont know that they are to big mixed insulins.

  3. ginski326

    I take 50 units of NPH and 10 units of R before breakfast & dinner. It said on the box they gave me of these new syringes that if you're mixing insulins, check with your dr. Can't contact him til Mon

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Mixing Insulin | Diabetes Forum The Global Diabetes Community

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Are you mean't to mix Levemir & Humalog in one syringe? I've got fed up with my Insulin Pump, especially in bed, when I can't sleep in the heat and getting tied up in the wire :lol: I've got back to MDI for a bit, have been mixing the two in the morning and at night to save two injections. Also, how long does levemir last? in your body I mean. No you can't mix the two together, mixing the two makes them unstable and may make them less effective, something to do with the pH difference between the two insulin's. The following is potentially going to cause see confusion :roll: :roll: but in a nut shell the jury is still out regarding whether Levemir (Insulin Detemir) and Humalog (Insulin Lispro) can be mixed together and injected. Even health care professionals have been unable to come to an overall consensus on what to advise. If you are treated with Levemir and another insulin/s you should use a separate delivery device for each type of insulin injected. (NovoNordisk 2005) Levemir requires two injections a day but it can be mixed in the same syringe with any of th Continue reading >>

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  1. laura w

    Mixing Levemir or lantus with humalog

    Why can't Lantus or Levemir be mixed with humalog to avoid taking 2 injections?

  2. laura w

    I found an old thread which answered the question. Blondie and Jill answered this one. PH issues that make the insulins unstable. Thanks. I promise to always search archives first.

  3. drewgolden

    Originally Posted by laura w
    Why can't Lantus or Levemir be mixed with humalog to avoid taking 2 injections?
    The pH of Lantus is approximately 4.0. Most other insulin injections run a pH around 7.2 to 7.7. Mixing lantus with novolog, nph, etc offsets the pKa of lantus making the duration (18-23 hours) variable and unstable.

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Mixing Two Kinds Of Insulin In One Syringe

Insulin should not be mixed with any other medications unless approved by the prescriber. To prepare insulin from two vials, follow these steps: a. With an insulin syringe and needle, inject air, equal to the dose of insulin to be withdrawn, into the vial of intermediate- or long-acting (cloudy) insulin. Do not touch the tip of the needle to the solution. b. Remove the syringe from the vial of cloudy insulin. c. With the same syringe, inject air, equal to the dose of insulin to be withdrawn, into the vial of rapid- or short-acting insulin (clear) insulin. Then withdraw the correct dose into the syringe. d. Remove the syringe from the clear insulin vial after carefully removing air bubbles in the syringe to ensure correct dose. e. Return to the vial of intermediate- or long-acting (cloudy) insulin and withdraw the correct dose. f. Administer mixture of insulins within 5 minutes of preparing it. Rapid- or short-acting insulin can bind with intermediate- or long-acting insulin, thus reducing the action of the faster-acting insulin. Continue reading >>

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  1. danursern

    0 I also need this I need a how to paper on proper insulin combining and what insulins cannot be mixed with each other?
    I've witness nurses incorrectly drawing cloudy before clear, and mixing Regular with lantus. I know you pull up the clear before cloudy as to not contaminate the Regular with long acting, but oters do not. I need to get this info out to the staff, because if I witness two I know there is more doing it. We use lots of agency and I do not know what they are doing. Not to knock agency or anything, this was our own facility nurses I witness doing it incorrectly.
    Darcy

  2. DutchgirlRN

    NEVER mix Lantus Insulin with any other insulin. I always draw up NPH before Regular. That's the way I learned it 30 years ago. I think it's still the same? We have to double check each other each and every time we give insulin. I was told by a nurse who came here (Nashville) from California that they don't double check insulin before giving it. I thought that was Nursing 101. She said this must be something new in Tennesee. Ah, no we've been doing it for at least 30 years and probably longer. I'm glad we do. I caught an agency nurse last year using a TB syringe to draw up 6 units and she had drawn up 0.6 cc. YIKES !!!

  3. txspadequeenRN, BSN

    Clear to cloudy and never mix lantus with anything!!!!
    Quote from DaNurseRN
    I also need this I need a how to paper on proper insulin combining and what insulins cannot be mixed with each other?
    I've witness nurses incorrectly drawing cloudy before clear, and mixing Regular with lantus. I know you pull up the clear before cloudy as to not contaminate the Regular with long acting, but oters do not. I need to get this info out to the staff, because if I witness two I know there is more doing it. We use lots of agency and I do not know waht they are doing.
    Darcy

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