Do I Need To Do The Math Every Time
Phew! Good to get those calculations out of the way!
But are they really out of the way if you need to inject insulin every day? Well, they can be out of the way with the help of Hedias insulin calculator.
Hedia takes the numbers for your insulin-to-carb ratio and your correction factor or uses the 500 rule and the 100/1800 rule and does the maths for you!
All you need to do is first tell Hedia your blood sugar level, which can be added wirelessly with certain blood glucose monitors. Then, add if youre having any carbs you can use Hedias food database to help.
Finally, tell Hedia if youre exercising and whether youve injected insulin recently.
Thats it! Hedia can now give you a personal recommendation for your insulin dosage. No formulas to fiddle with just a tap of a screen.
Have a go with Hedia at or the App Store!
Total Daily Insulin Requirement:
= 500 ÷ TDI = 1unit insulin/ 12 g CHO
This example above assumes that you have a constant response to insulin throughout the day. In reality, individual insulin sensitivity varies. Someone who is resistant in the morning, but sensitive at mid-day, will need to adjust the insulin-to-carbohydrate ratio at different meal times. In such a case, the background insulin dose would still be approximately 20 units however, the breakfast insulin-to-carbohydrate ratio might be breakfast 1:8 grams, lunch 1:15 grams and dinner 1:12 grams.
The insulin to carbohydrate ratio may vary during the day.
Whats A Humalog Insulin Sliding Scale
An insulin sliding scale is a dosage chart that helps people with type 1 or type 2 diabetes figure out their insulin dosing. Based on your blood sugar levels, the chart should tell you how much insulin to take at mealtimes or before bed.
Your doctor should be able to help you make a sliding scale that fits your insulin needs and treatment plan.
The scale may depend on other factors such as diet and exercise. If certain factors change, your insulin needs may change as well. Not considering those changes may put you at risk for both hyperglycemia and hypoglycemia .
You may be able to use a sliding scale with Humalog or Humalog Mix. But a sliding scale may not be the right option for you based on your diabetes treatment plan. Discuss with your doctor the best way for you to calculate your dosage needs.
Below are answers to some common questions about Humalog.
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How To Manage Type 1 Diabetes
Before the discovery of insulin, diabetes was a death sentence. People couldnt use the nutrients in their food and would become thin and malnourished. Managing the condition required a strict diets and reduced carbohydrate intake. Still, these measures werent enough to reduce mortality.
In the early 1920s, Canadian surgeon Dr. Frederick Banting and medical student Charles Best discovered that insulin could help normalize blood sugar levels. Their discovery garnered them the Nobel Prize and allowed people with diabetes to live a much longer and healthier life.
According to the Centers for Disease Control and Prevention , 12 percent of adults with diabetes take insulin only, and 14 percent take both insulin and an oral medication. Taken as prescribed, insulin is a lifesaver. However, too much of it can cause significant side effects and sometimes death.
While some people may use excessive amounts of insulin intentionally, many others take too much insulin by accident. No matter the reason for the overdose, an insulin overdose needs to be treated immediately. Even with proper treatment, it can become a medical emergency.
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Financial And Insurance Assistance
If you need financial support to pay for Lantus, help is available.
Sanofi-Aventis US LLC, the manufacturer of Lantus, offers a copay savings card and a program called Valyou Savings Program. For more information on these options, and to find out if youre eligible for one of them, visit the manufacturers website.
If you have Medicare Part D, you can check to see if your insurance plan covers Lantus at the manufacturers website.
You’ll Need To Calculate Some Of Your Insulin Doses
You’ll also need to know some basic things about insulin. For example, 40-50% of the total daily insulin dose is to replace insulin overnight.
Your provider will prescribe an insulin dose regimen for you however, you still need to calculate some of your insulin doses. Your insulin dose regimen provides formulas that allow you to calculate how much bolus insulin to take at meals and snacks, or to correct high blood sugars.
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Type 2 Diabetes And Insulin
Getting Started
When most people find out they have Type 2 diabetes, they are first instructed to make changes in their diet and lifestyle. These changes, which are likely to include routine exercise, more nutritious food choices, and often a lower calorie intake, are crucial to managing diabetes and may successfully lower blood glucose levels to an acceptable level. If they do not, a drug such as glyburide, glipizide, or metformin is often prescribed. But lifestyle changes and oral drugs for Type 2 diabetes are unlikely to be permanent solutions. This is because over time, the pancreas tends to produce less and less insulin until eventually it cannot meet the bodys needs. Ultimately, insulin is the most effective treatment for Type 2 diabetes.
There are many barriers to starting insulin therapy: Often they are psychological sometimes they are physical or financial. But if insulin is begun early enough and is used appropriately, people who use it have a marked decrease in complications related to diabetes such as retinopathy , nephropathy , and neuropathy . The need for insulin should not be viewed as a personal failure, but rather as a largely inevitable part of the treatment of Type 2 diabetes. This article offers some practical guidance on starting insulin for people with Type 2 diabetes.
If Im Using Levemir Can I Switch To Using Lantus
Yes, you can switch if your doctor thinks Lantus would work well for you. Both Lantus and Levemir are long-acting insulins that work all day to lower your blood sugar levels. Talk with your doctor or pharmacist if youre interested in switching to a different insulin.
Your dosage when switching from Levemir to Lantus will depend on whether you took Levemir once or twice a day.
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Dosage For Type 1 Diabetes
If you have type 1 diabetes, the starting dose of Lantus is generally about one-third of your total daily insulin dose.
Your total daily insulin dose is based on your weight. It typically ranges from 0.4 to 1.0 units per kilogram a day.
For example, a 150-lb man weighs about 68 kg. If his doctor prescribes 0.5 units/kg a day, his total daily insulin dose would be 34 units a day. His starting dose of Lantus would be about one-third of 34 units, which is about 11 units of Lantus.
Lantus is typically taken once a day, not twice a day.
The drug is given as an injection just under your skin . You can inject Lantus in the skin of your upper arms, belly , or thighs.
If Im Taking Tresiba Can I Switch To Levemir
Yes, you can switch if your doctor thinks Levemir would work well for you. Both Tresiba and Levemir are long-acting insulins that work all day to lower your blood sugar levels. Talk with your doctor or pharmacist if youre interested in switching to a different insulin.
Your dosage when switching from Tresiba to Levemir will depend on whether your doctor wants you to take Levemir once or twice a day.
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Type 1 Diabetes Mellitus
< 12 years: Safety and efficacy not established
> 12 years: Suggested dose is 0.5-1 unit/kg/day SC use adult dosing usual daily maintenance range in adolescents is 1.2 units/kg/day during growth spurts
Dosing considerations
- Dosage of human insulin, which is always expressed in USP units, must be based on the results of blood and urine glucose tests and must be carefully individualized to optimal effect
-
insulin NPH, pramlintide. Mechanism: unspecified interaction mechanism. Contraindicated. Must be administered separately.
Serious – Use Alternative
- ethanol
ethanol, insulin NPH. Other . Avoid or Use Alternate Drug. Comment: Alcohol may either increase or decrease the blood glucose lowering effect of insulin alcohol may decrease endogenous glucose production or worsen glycemic control by adding calories.
- macimorelin
insulin NPH, macimorelin. unspecified interaction mechanism. Avoid or Use Alternate Drug. Drugs that may transiently elevate growth hormone concentrations may impact the accuracy of the macimorelin diagnostic test. Allow sufficient washout time of drugs affecting GH release before administering macimorelin.
Monitor Closely
Minor
What Are The Forms Of Humalog
Humalog comes in several forms:
- Multidose vial. Vials come in sizes of 3 milliliters and 10 mL, with 100 units of insulin per mL . The vial can be used for insulin injections and infusions. It can also be used to fill insulin pumps.
- Humalog KwikPen. These are disposable, prefilled injection pens. They come in a 3-mL size with either U-100 or U-200 of insulin. The KwikPen can give up to 60 units of insulin per injection.
- Humalog Tempo Pen. These are disposable, prefilled injection pens. They come in a 3-mL size with U-100 of insulin. The Tempo Pen can give up to 60 units of insulin per injection.
- Humalog Junior KwikPen. These are disposable, prefilled injection pens. They come in a 3-mL size with U-100 of insulin. The Junior KwikPen can give up to 30 units of insulin per injection.
- Cartridges. These are disposable, prefilled cartridges. They come in a 3-mL size with U-100 of insulin. The cartridges are made for reusable insulin pens.
Humalog Mix50/50 and Mix75/25 are available in two forms:
- Multidose vial. Vials come in 10-mL sizes with U-100 of insulin. The vial can be used for insulin injections.
- Humalog KwikPen. These are disposable, prefilled injection pens. They come in a 3-mL size with U-100 of insulin. The KwikPen can give up to 60 units of insulin per injection.
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How Do I Know How Much Humalog Or Humalog Mix I Should Use
The dosage for Humalog medications can vary from person to person. Its based on many factors, such as your daily insulin needs and your diet. Your doctor will help you make a diabetes treatment plan and figure out the right Humalog or Humalog Mix dose for you.
For more information about dosing for this drug, see the What is Humalogs dosage? section above.
Insulin Dosing: How High Can You Go
What is the highest dose of insulin that can be used in a patient whose diabetes remains uncontrolled on a regimen of insulin plus an oral antidiabetic agent?
What is the highest dose of insulin that can be used in a patient whose diabetes remains uncontrolled on a regimen of insulin plus an oral antidiabetic agent?
— MD
When it comes to using insulin to treat hyperglycemia, the skys the limit. Extremely high doses are occasionally required that is the reason U-500 insulin is available. A colleague once reported using 35,000 units of insulin a day in a patient with a genetic receptor defect. In patients with glucotoxicity, hyperglycemia, and down-regulation of the beta cells, very high doses of insulin are needed to reverse the clinical situation after this has been accomplished, the insulin dose can be gradually lowered to a maintenance level. Ironically, hyperglycemia may either stimulate the beta cells to correct the clinical problem or have a toxic effect on the beta cells and thus worsen the situation.
— Russell D. White, MD
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Symptoms Of Insulin Overdose
Excess insulin in the bloodstream causes cells in your body to absorb too much glucose from your blood. It also causes the liver to release less glucose. These two effects together create dangerously low glucose levels in your blood. This condition is called hypoglycemia.
Your blood needs the right amount of glucose for your body to operate properly. Glucose is the bodys fuel. Without it, your body is like a car running out of gas. The severity of the situation depends on how low the blood sugar level goes. It also depends on the person, because everyone reacts differently.
Converting Insulin Milliliters To Units
While we are on the subject of converting units of insulin to milligrams, it is important to discuss a common source of confusion regarding insulin dosing, which is the relationship between milliliters and units.
Insulin products are listed in terms of a concentration, such as U100 or U500.
U40 stands for:
- 40 Units of insulin per 1mL
U100 stands for:
- 100 Units of insulin per 1mL
U500 stands for:
- 500 Units of insulin per 1mL
So, if you have a U100 insulin product, and you need to inject 50 units, that would come out to 0.5 mL.
Similarly, if you have a U500 insulin product, and you need to inject 50 units, that would come out to 0.1 mL.
You can convert between units and mL for the most common type of insulin concentration, U100, below.
U100 Insulin to mL Converter
Type in units of U100 insulin to convert to mL:
Units
Milliliters: 0
If you are using syringes to draw up and inject your insulin, it is vitally important to be sure you are using the correct ones to prevent dosing errors.
For example, you cannot use U100 syringes if you are utilizing a U500 insulin product.Drawing up half-way, to 0.5 mL, on a U100 syringe will equal a dose of 50 units of a U100 insulin. However, doing the same with a U500 product would yield 250 units!
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Usual Adult Dose For Diabetes Type 1
Note: Regular human insulin is available in 2 concentrations: 100 units of insulin per mL and 500 units of insulin per mL Doses should be individualized based on patient’s metabolic needs, blood glucose monitoring results, and glycemic goals-Total daily insulin requirements are generally between 0.5 to 1 unit/kg/dayInsulin U-100 :SUBCUTANEOUS Administration: Inject subcutaneously approximately 30 minutes prior to a meal-Insulin U-100 should generally be used in a regimen with an intermediate or long-acting insulinINTRAVENOUS Administration: Administer only under medical supervision with close monitoring of blood glucose and serum potassium-Humulin R: Dilute to a concentration of 0.1 to 1 unit/mL in an infusion system using polyvinyl chloride infusion bags this insulin is stable in normal saline-Novolin R: Dilute to a concentration of 0.05 to 1 unit/mL in an infusion system using polypropylene infusion bags this insulin is stable in normal saline, 5% dextrose, or 10% dextrose with 40 mmol/L potassium chlorideInsulin U-500 : For subcutaneous administration only-Administer U-500 insulin subcutaneously 2 to 3 times a day approximately 30 minutes prior to start of a meal–The safety and efficacy in combination with other insulins has not been determined.
How Many Units Are In A Humalog Cartridge
100 units100 units300 units
The Humalog 100 units/ml KwikPen delivers 1 60 units in steps of 1 unit in a single injection. The Humalog 100 units/ml Junior KwikPen delivers 0.5 30 units in steps of 0.5 units in a single injection.
Also, what is a Humalog cartridge? Insulin lispro is a recombinant DNA sourced human insulin analogue. HUMALOG consists of zinc-insulin lispro crystals dissolved in a clear fluid. HUMALOG is used to control high blood sugar in people with diabetes.
Considering this, how many Humalog Kwikpens are in a box?
Humalog Insulin 100U/ml KwikPen 3ml Cartridge Box of 5 Cartridges.
Does Humalog KwikPen come with needles?
Do not share your Humalog U-100, Humalog U-200, Humalog Mix75/25, Humalog Mix50/50, or Insulin Lispro Injection prefilled pen, cartridges, reusable pen compatible with Lilly 3 mL cartridges, needles, or syringes with other people, even if the needle has been changed.
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