diabetestalk.net

Why Do You Draw Up Clear Before Cloudy Insulin?

Giving Yourself An Insulin Shot For Diabetes

Giving Yourself An Insulin Shot For Diabetes

For those with diabetes, an insulin shot delivers medicine into the subcutaneous tissue -- the tissue between your skin and muscle. Subcutaneous tissue (also called "sub Q" tissue) is found throughout your body. Please follow these steps when using an insulin syringe. Note: these instructions are not for patients using an insulin pen or a non-needle injection system. Select a clean, dry work area, and gather the following insulin supplies: Bottle of insulin Sterile insulin syringe (needle attached) with wrapper removed Two alcohol wipes (or cotton balls and a bottle of rubbing alcohol) One container for used equipment (such as a hard plastic or metal container with a screw-on or tightly secured lid or a commercial "sharps" container) Wash hands with soap and warm water and dry them with a clean towel. Remove the plastic cap from the insulin bottle. Roll the bottle of insulin between your hands two to three times to mix the insulin. Do not shake the bottle, as air bubbles can form and affect the amount of insulin withdrawn. Wipe off the rubber part on the top of the insulin bottle with an alcohol pad or cotton ball dampened with alcohol. Set the insulin bottle nearby on a flat surface. Remove the cap from the needle. If you've been prescribed two types of insulin to be taken at once (mixed dose), skip to the instructions in the next section. Draw the required number of units of air into the syringe by pulling the plunger back. You need to draw the same amount of air into the syringe as insulin you need to inject. Always measure from the top of the plunger. Insert the needle into the rubber stopper of the insulin bottle. Push the plunger down to inject air into the bottle (this allows the insulin to be drawn more easily). Leave the needle in the bottle. Turn the bottle an Continue reading >>

How To Prepare Two Types Of Insulin In One Syringe

How To Prepare Two Types Of Insulin In One Syringe

A step-by-step guide to combine two types of insulin in a single syringe ​People with diabetes may be prescribed two types of insulin to be taken at the same time. To reduce the number of insulin injections, it is common to combine two types of insulin in a single syringe using r​apid-acting (clear) insulin with either an intermediate or a long-acting (​​cloudy) insulin.​ ​ ​ ​​ ​ ​ ​ ​ ​ ​Follow These Steps to Prepare the Injection: Prepare your supplies and remove the insulin vials from the fridge half an hour before your injection. Check their expiry dates. Discard the vial six weeks after opening or as per the manufacturer’s guide. Roll the vial of cloudy insulin (intermediate or long-acting insulin) until the white powder has dissolved. Do NOT shake the vial. Clean the rubber stopper of the insulin vials with an alcohol wipe or a cotton ball dipped in alcohol. Draw air into the syringe by pulling the plunger down. The amount of air drawn should be equal to the dose of cloudy insulin that you require. With the vial standing upright, insert the needle into the vial containing the cloudy insulin. Inject air into the vial and remove the needle. Repeat the steps with clear insulin. Draw air into the syringe that is equal to the dose of clear insulin you require. Insert the needle into the vial containing the clear insulin and inject air into the vial. Do NOT remove the needle. With the needle in the vial, turn the syringe and insulin vial upside down, and draw out your dose of clear insulin. Read the line markings on the syringe to make sure you have drawn the correct amount of insulin. Insert the needle back into the vial containing the cloudy insulin. Do NOT push the plunger. Turn the syringe and insulin vial upside down, and draw out y Continue reading >>

Combining Insulin Tutorial

Combining Insulin Tutorial

Drawing air into the syringe for the proper number of clear insulin units. Pull the plunger down to the number of clear insulin units you intend to inject. You want the amount of "air units" to equal the amount of clear insulin units you'll be drawing from the vial. Piercing the clear insulin vial's rubber stopper with the needle. Push the needle through the clear insulin vial's rubber stopper. Injecting the air into the clear insulin vial. Inject the "air units" you drew up a moment ago (equal to the number of clear units you will draw from the clear insulin vial) into the vial. This will maintain air pressure equilibrium in the vial once you draw the dose and, because the vial is upright, will not cause air bubbles. This time, leave the needle in the clear insulin vial. Turn the clear insulin vial with the syringe still stuck into it upside-down. Note how the vial is held while drawing the insulin--at a slight angle, tilted so that the air space in the vial is at the opposite side the needle is drawing the insulin from; this helps reduce the possibility of bubbles in the syringe. Pull the syringe plunger slowly to get the insulin into the syringe, making sure you are drawing up the right number of units. If you draw too many, you can push then back into the vial from the syringe; the important thing is that the drawn dosage is correct. If you find bubbles, push the entire amount of insulin in the syringe back into the vial and start from step eight again. If you do get air bubbles into the syringe, it's ok with most insulins to re-inject the insulin into the vial and draw again until the air is gone. [7] Check that this is ok with your insulin. See also injecting insulin . Slower draw is less likely to draw bubbles. Remove the needle from the clear insulin vial. Continue reading >>

Short-acting Insulins

Short-acting Insulins

Rapid-Acting Analogues Short-Acting Insulins Intermediate-Acting Insulins Long-Acting Insulins Combination Insulins Onset: 30 minutes Peak: 2.5 - 5 hours Duration: 4 - 12 hours Solution: Clear Comments: Best if administered 30 minutes before a meal. Mixing NPH: If Regular insulin is mixed with NPH human insulin, the Regular insulin should be drawn into the syringe first. Aspart - Novolog ®: Compatible - but NO support clinically for such a mixture. Draw up Novolog first before drawing up Regular Insulin. Lispro - Humalog ®: Compatible - but NO support clinically for such a mixture. Draw up Humalog first before drawing up Regular Insulin. Mixtures should not be administered intravenously. When mixing insulin in a syringe, draw up the quickest acting insulin first (e.g. draw up Humalog or Novolog before drawing up Regular Insulin, or draw up Regular insulin before Novolin N (NPH) or Lente insulin. CLINICAL PHARMACOLOGY Insulin is a polypeptide hormone that controls the storage and metabolism of carbohydrates, proteins, and fats. This activity occurs primarily in the liver, in muscle, and in adipose tissues after binding of the insulin molecules to receptor sites on cellular plasma membranes. Insulin promotes uptake of carbohydrates, proteins, and fats in most tissues. Also, insulin influences carbohydrate, protein, and fat metabolism by stimulating protein and free fatty acid synthesis, and by inhibiting release of free fatty acid from adipose cells. Insulin increases active glucose transport through muscle and adipose cellular membranes, and promotes conversion of intracellular glucose and free fatty acid to the appropriate storage forms (glycogen and triglyceride, respectively). Although the liver does not require active glucose transport, insulin increases hepatic gl Continue reading >>

Why Draw Up Clear Insulin Before Cloudy?

Why Draw Up Clear Insulin Before Cloudy?

Would you like to merge this question into it? already exists as an alternate of this question. Would you like to make it the primary and merge this question into it? The "cloudy" insulins are long-acting, while the "clear" insulins are rapid or short-acting. Drawing up the clear insulins first prevents the vial of short-acting insulin from being contaminated with a long-acting insulin. The "cloudy" insulins are long-acting, while the "clear" insulins are rapid or short-acting. Drawing up the clear insulins first prevents the vial of short-acting insulin from being contaminated with a long-acting insulin. Does anyone know of a company that will refinance home if it was just for sale? They won't refinance unless it is off the market. and even if you did get it refied. it would be at a sub prime rate which stinks.. that's been my issue been trying to sell my house and wasted time with lazy realtors had to do a couple refi's and the rates just kept getting worse. Not sure if I completely understand your questions. If you are asking if you should take the equity from your home and put it in an IRA then yes. It is always a great idea to put money in different investment accounts. Speak to a Financial Advisor, of Financial Specialist first before making any major decisions.. I hope I answered your questions. Good luck. If you have a 1st mortgage you can roll the two together into one low rate....like 30 yrs at 4.5% with no money down depending on your value of your property....but you can ask the bank to get you to just refinance your home equity loan just the same. You will probably get a low rate like 10 yrs at 3.6% with a good FICO score! I just did it through Sun National Bank in Old bridge, NJ, they were great and no hidden fees.....the mortgage rep was fantasic and was Continue reading >>

Insulin: How To Give A Mixed Dose

Insulin: How To Give A Mixed Dose

Many people with diabetes need to take insulin to keep their blood glucose in a good range. This can be scary for some people, especially for the first time. The truth is that insulin shots are not painful because the needles are short and thin and the insulin shots are placed into fatty tissue below the skin. This is called a subcutaneous (sub-kyu-TAY-nee-us) injection. In some cases, the doctor prescribes a mixed dose of insulin. This means taking more than one type of insulin at the same time. A mixed dose allows you to have the benefits of both short-acting insulin along with a longer acting insulin — without having to give 2 separate shots. Usually, one of the insulins will be cloudy and the other clear. Some insulins cannot be mixed in the same syringe. For instance, never mix Lantus or Levemir with any other solution. Be sure to check with your doctor, pharmacist, or diabetes educator before mixing. These instructions explain how to mix two different types of insulin into one shot. If you are giving or getting just one type of insulin, refer to the patient education sheet Insulin: How to Give a Shot. What You Will Need Bottles of insulin Alcohol swab, or cotton ball moistened with alcohol Syringe with needle (You will need a prescription to buy syringes from a pharmacy. Check with your pharmacist to be sure the syringe size you are using is correct for your total dose of insulin.) Hard plastic or metal container with a screw-on or tightly-secured lid Parts of a Syringe and Needle You will use a syringe and needle to give the shot. The parts are labeled below. Wash the work area (where you will set the insulin and syringe) well with soap and water. Wash your hands. Check the drug labels to be sure they are what your doctor prescribed. Check the expiration date o Continue reading >>

Steps For Preparing A Mixed Dose Of Insulin

Steps For Preparing A Mixed Dose Of Insulin

XIAFLEX® is a prescription medicine used to treat adults with Dupuytren's contracture when a "cord" can be felt. It is not known if XIAFLEX® is safe and effective in children under the age of 18. Do not receive XIAFLEX® if you have had an allergic reaction to collagenase clostridium histolyticum or any of the ingredients in XIAFLEX®, or to any other collagenase product. See the end of the Medication Guide for a complete list of ingredients in XIAFLEX®. XIAFLEX® can cause serious side effects, including: Tendon rupture or ligament damage. Receiving an injection of XIAFLEX® may cause damage to a tendon or ligament in your hand and cause it to break or weaken. This could require surgery to fix the damaged tendon or ligament. Call your healthcare provider right away if you have trouble bending your injected finger (towards the wrist) after the swelling goes down or you have problems using your treated hand after your follow-up visit Nerve injury or other serious injury of the hand. Call your healthcare provider right away if you get numbness, tingling, increased pain, or tears in the skin (laceration) in your treated finger or hand after your injection or after your follow-up visit Hypersensitivity reactions, including anaphylaxis. Severe allergic reactions can happen in people who receive XIAFLEX® because it contains foreign proteins. Call your healthcare provider right away if you have any of these symptoms of an allergic reaction after an injection of XIAFLEX®: hives swollen face breathing trouble chest pain low blood pressure Increased chance of bleeding. Bleeding or bruising at the injection site can happen in people who receive XIAFLEX®. Talk to your healthcare provider if you have a problem with your blood clotting. XIAFLEX® may not be right for you. Befor Continue reading >>

How To Mix Insulin Clear To Cloudy

How To Mix Insulin Clear To Cloudy

Learn how to mix insulin clear to cloudy. Drawing up and mixing insulin is a skill that nurses will utilize on the job. Insulin is administered to patients who have diabetes. These type of patients depend on insulin so their body can use glucose. Therefore, nurses must be familiar with how to mix insulin. The goal of this article is to teach you how to mix insulin. Below are a video demonstration and step-by-step instructions on how to do this. How to Mix Insulin Purpose of mixing insulin: To prevent having to give the patient two separate injections (hence better for the patient). Most commonly ordered insulin that are mixed: NPH (intermediate-acting) and Regular insulin (short-acting). Important Points to Keep in Mind: Never mix Insulin Glargine “Lantus” with any other type of insulin. Administer the dose within 5 to 10 minutes after drawing up because the regular insulin binds to the NPH and this decreases its action. Check the patient’s blood sugar and for signs and symptoms of hypoglycemia to ensure they aren’t hypoglycemic …if patient is hypoglycemic hold the dose and notify md for further orders. Key Concept for Mixing Insulin: Draw up CLEAR TO CLOUDY Remember the mnemonic: RN (Regular to Nph) Why? It prevents contaminating the vial of clear insulin with the cloudy insulin because if contaminated it can affect the action of the insulin. Why does this matter because they will be mixed in the syringe? You have 5 to 10 minutes to give the insulin mixed in the syringe before the action of the insulins are affected Demonstration on Drawing Up Clear to Cloudy Insulin Steps on How to Mix Insulin 1. Check the doctor’s order and that you have the correct medication: Doctor’s order says: “10 units of Humulin R and 12 units of Humulin N subcutaneous before b Continue reading >>

Mixing Insulin

Mixing Insulin

License Here How Do You Mix Insulin? Your doctor or diabetes educator may ask you to mix a short-acting or clear insulin with an intermediate or long acting cloudy insulin in the same syringe so that both can be given at the same time. Keep in mind: The only insulin that cannot be mixed is insulin Glargine. Mixing Insulin In this example, the doctor has asked you to mix 10 units of regular, clear, insulin with 15 units of NPH cloudy insulin, to a total combined dose of 25 units. Always, draw “clear before cloudy” insulin into the syringe. This is to prevent cloudy insulin from entering the clear insulin bottle. Always do this procedure in the correct order, as shown in the following sequence. Roll the bottle of the cloudy insulin between your hands to mix it. Clean both bottle tops with an alcohol wipe. Pull back the plunger of the syringe to the dose of the long-acting (cloudy) insulin in this example 15 units. You now have 15 units of air in the syringe. Check the insulin bottle to ensure you have the correct cloudy type of insulin. With the insulin bottle held firmly on a counter or tabletop, insert the needle through the rubber cap into the bottle. Push the plunger down so that the air goes from the syringe into the bottle. Remove the needle and syringe. This primes the bottle for when you withdraw the insulin later. Pull back the plunger of the syringe to the dose of the shorter acting clear insulin in this example 10 units. You now have 10 units of air in the syringe. Check the insulin bottle to ensure you have the correct clear type of insulin. With the insulin bottle held firmly on a counter or tabletop, insert the needle through the rubber cap into the bottle. Push the plunger down so that the air goes from the syringe into the bottle. Turn the bottle upsid Continue reading >>

What Does Cloudy Insulin Mean?

What Does Cloudy Insulin Mean?

What does it mean when your insulin gets cloudy after several weeks? Insulin can changewhen stored, says the American Diabetes Association (ADA). Many factors speed up the change, including warm temperatures and shaking the insulin bottle. Thats why the ADA recommends that you avoid carrying your insulin in your pocket, especially if you are an active person. Keep it in a refrigerator, cupboard, purse, briefcase or backpack, and protect it from heat and motion. If regular insulin becomes cloudy, throw it away, says the ADA. It has lost its effectiveness, and wont keep your blood sugar from getting too high. If your insulin is a mix of regular and NPH or ultralente insulins, you may be getting NPH or ultralente in the bottle of regular insulin. This, too, will make it cloudy. If in doubt, discard the old bottle and replace it with a new one. Reprinted from 101 Tips for Improving Your Blood Sugar by the University of New Mexico Diabetes Care Team. Copyright by the American Diabetes Association. Used by permission. All rights reserved. Thanks for signing up for our newsletter! You should see it in your inbox very soon. Continue reading >>

Insulin And Insulin Analogues | How To Mix Insulin In A Syringe

Insulin And Insulin Analogues | How To Mix Insulin In A Syringe

Administrating Insulin and Insulin Analogues It is important to draw up clear insulin before cloudy insulin. Remove the white cap covering the plunger, then carefully remove the orange needle cap by twisting or pulling. Pull back the plunger of the syringe to measure an amount of air equivalent of the amount of cloudy insulin you require With the vial standing upright, insert the needle straight through the centre of the rubber cap of the cloudy insulin vial and push the plunger down. This expels the air into the vial, making it easier to draw the insulin out of the bottle later. Remove the needle without drawing back the cloudy insulin. Pull back the plunger of the syringe to measure an amount of air equivalent to the amount of clear insulin you require. Insert the needle through the centre of the rubber cap of the clear insulin vial and inject the air by pushing the plunger down. Turn the vial upside down. Make sure that the point of the needle inside the vial is well beneath the surface of the insulin. Pull back the plunger until you have measured the correct dose of clear insulin. If you see air bubbles, draw up several more units of insulin and re-inject the bubbles into the vial by pushing the plunger back to the required dose. Rotate the cloudy insulin vial briefly a second time, insert the needle straight through the centre of the rubber cap of the cloudy insulin vial and turn it upside down. Then pull back the plunger to the marking that represents the TOTAL of the clear AND cloudy insulins. Remove the needle from the vial and perform you injection. After use, dispose of the needle and syringe in a 'cin bin'. If you accidentally draw up too much cloudy insulin, do not re-inject back into the vial. You should discard the mixture and begin again. Continue reading >>

How To Draw Up Insulin

How To Draw Up Insulin

Edit Article Three Parts:Taking the Proper PrecautionsDrawing Up One Kind of InsulinDrawing Up Two Kinds of Insulin Into the Same SyringeCommunity Q&A If you have to administer an insulin shot, make sure you wash your hands and clean the outside of the insulin bottles with alcohol wipes beforehand. For a single type of insulin injection, pull the same volume of air into the syringe as the volume of the insulin dose, then release the air into the insulin bottle. Pull up the required dose of insulin and you’re ready for the injection. If you’re mixing two types of insulins, pull up air and release it into each respective insulin bottle without drawing up any insulin. Then draw up the clear insulin, followed by the cloudy insulin. 1 Wash your hands thoroughly. Whenever you’re going to be handling medicine and syringes, you need to make sure you wash your hands very well beforehand. Use warm water and soap and scrub the entire surface area of each hand.[1] Use a clean paper towel to dry your hands. Hand towels can harbor germs and bacteria that will just get your hands dirty again. 2 Wipe the top of the insulin bottle with an alcohol wipe and let it dry completely before using. Use an alcohol wipe to clean the top of each insulin bottle before you use it. Let the alcohol air dry before you move on to the next step.[2] Do not ever wipe the alcohol off or attempt to dry it another way, as this could easily contaminate your insulin bottle. 3 Roll NPH insulin between your hands before use. If you are using NPH insulin, it’s important that you roll the vial between the palms of both of your hands at least 20 times before you start to use it. This helps mix the insulin so that it can be more effective after it is injected in the body.[3] Never shake the vial of NPH insuli Continue reading >>

Steps For Preparing A Mixed Dose Of Insulin

Steps For Preparing A Mixed Dose Of Insulin

Steps for Preparing a Mixed Dose of Insulin slide 1 of 9, Rolling the bottles gently, Step 1. Roll the insulin bottles (vials) gently between your hands. Roll the cloudy insulin bottle until all the white powder has dissolved. Rolling the bottle warms the insulin if you have been keeping the bottle in the refrigerator. The order in which you mix the clear (rapid- or short-acting) and cloudy (long-acting) insulin is important. slide 2 of 9, Cleaning the lids of the bottles, Step 2. Wipe the rubber lid of both insulin bottles with an alcohol wipe or a cotton ball dipped in alcohol. Let the alcohol dry. Note: If you are using a bottle for the first time, remove the protective cover from the rubber lid before cleaning. Drawing air into the syringe for the cloudy insulin dose slide 3 of 9, Drawing air into the syringe for the cloudy insulin dose, Step 3. Remove the plastic cap that covers the needle on your insulin syringe. Step 4. Pull the plunger back on your insulin syringe and draw air into the syringe equal to the number of units of cloudy insulin to be given. Forcing air into the cloudy insulin bottle slide 4 of 9, Forcing air into the cloudy insulin bottle, Step 5. Push the needle of the syringe into the rubber lid of the cloudy insulin bottle. Step 6. Push the plunger of the syringe to force the air into the bottle. This equalizes the pressure in the bottle when you later remove the dose of insulin. Step 7. Remove the needle from the bottle. Drawing air into the syringe for the clear insulin dose slide 5 of 9, Drawing air into the syringe for the clear insulin dose, Step 8. Pull the plunger of the syringe back and draw air into the syringe equal to the number of units of clear insulin to be given. Forcing air into the clear insulin bottle slide 6 of 9, Forcing air i Continue reading >>

Diabetes: Insulin Treatment, Type 1

Diabetes: Insulin Treatment, Type 1

Type 1 Diabetes: Insulin Treatment Your child has Type I Insulin Dependent Diabetes. This type of diabetes happens when the body does not make enough insulin. Because the body needs insulin to stay healthy, your child must take insulin each day by injection to meet the body's needs to control blood sugars. Supplies you will need: Insulin Insulin syringe Alcohol swab or 70% alcohol and cotten ball Note:Insulin syringes come in four types - 25, 30, 50 and 100 units. On a 25-unit syringe, each line equals ½ unit. On the 30 and 50-unit syringe, each line equals 1 unit. On the 100-unit syringe, each line equals 2 units. Opened vials of insulin, cartridges or pens in current use do not need to be refrigerated if used within 30 days of their first use. Refrigerated and unopened vials or pens can last up to the expiration date on the box or vial. The injection hurts less if the insulin is allowed to come to room temperature before injecting. You may warm the insulin syringe by rolling the syringe between your hands before injecting. Label the bottle with the date when it is opened. The bottle or pen must be thrown away once it has been opened for 30 days (whether it has been refrigerated or is at room temperature). Levemir should be thrown away after 42 days. Drawing up your insulin Single Dose: Wash your hands. Check the insulin bottle before using it. Make sure that the expiration date has not passed and that the top of the bottle is not damaged. Make sure clear insulin stays clear and cloudy insulin is white, not clumpy. Lantus and Levemir are clear, long-acting insulins. Your doctor may give permission/orders allowing you to mix Lantus or Levemir with your short or rapid-acting insulin. Do not mix either of these insulins with any other insulin without first discussing thi Continue reading >>

​insulin Syringe Preparation: How To Mix Short- And Intermediate-acting Insulin

​insulin Syringe Preparation: How To Mix Short- And Intermediate-acting Insulin

​Nurses from the Department of Specialty Nursing, Singapore General Hospital, a member of the SingHealth group, share the right way of mixing short-acting (clear) and intermediate-acting (cloudy) insulin for injection. How to mix short-acting (clear) insulin and intermediate-acting (cloudy) insulin Step 1: Roll and clean ​ Wash and dry your hands. Roll the cloudy (intermediate-acting) bottle of insulin between your palms 10 times gently. Do not shake vigorously. Clean the top of vial with an alcohol swab. Step 2: Add air to cloudy (intermediate-acting) insulin ​ Draw the required amount of air (equal to the dosage of cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Do not draw out any insulin, and remove the syringe and needle. Step 3: Add air to clear (short-acting) insulin ​ Using the same syringe and needle, draw the required amount of air (equal to the dosage for clear insulin) into the insulin syringe. Inject air into the clear insulin vial. Step 4: Withdraw clear (short-acting) insulin first, then cloudy (intermediate-acting) insulin ​ With the insulin syringe and needle attached, turn the clear insulin bottle upside down, with the needle bevel within the insulin, withdraw the required amount of clear insulin into the syringe. Then do the same with the cloudy insulin. Always withdraw clear insulin first before withdrawing cloudy insulin. Ensure the total dose of clear and cloudy insulin is correct. If overdrawn, discard and repeat. "Not all types of insulin are suitable to be mixed. If in doubt, please check with your pharmacist or diabetes nurse educator," say nurses from the Department of Specialty Nursing, Singapore General Hospital (SGH), a member of the SingHealth group. Reminders: Look out for the expiry date on th Continue reading >>

More in insulin