Let's summarize what we have learnt:
If we are going to inject insulin twice a day there are
two kinds of insulin preparations which we can use:
1.
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NPH insulin without regular insulin
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2.
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NPH insulin with regular insulin
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Many people seem to find the most suitable preparations for insulin treatment with two injections a day to be NPH insulin with a regular insulin.
They are available as
premixed insulin formulations
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or alternatively you can mix them in the syringe immediately before giving the injection.
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How do I mix them?
If, for example, you want to mix 15 units of NPH insulin and 8 units of
regular insulin, this is how you do it:
1. Draw 15 units of air into the syringe and inject it into the vial of NPH insulin.
Then take out the needle.
2. Now draw 8 units of air into the syringe and inject it into the vial of
regular insulin.
3. Then turn the vial of regular insulin upside down and slowly suck 8 units of
regular insulin into the syringe.
4. Before drawing up a cloudy insulin suspension, it must be thoroughly mixed by rolling the vial between the palms of your hands.
5. Now turn the vial of NPH insulin
upside down, stick the needle through the rubber stopper and slowly withdraw 15 units of
NPH insulin.
6. And now you can inject the insulin mixture of 8 units of regular insulin (Reg) and 15 units of long-acting insulin (NPH).
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