How to mix curt-interim (clear) insulin and intermediate-acting (cloudy) insulin

Footstep ane: Roll and make clean

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Wash and dry your easily. Roll the cloudy (intermediate-acting) bottle of insulin between your palms 10 times gently. Do not milk shake vigorously. Make clean the pinnacle of vial with an alcohol swab.

Step 2: Add air to cloudy (intermediate-acting) insulin

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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.

Footstep 3: Add air to articulate (short-acting) insulin

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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.

Pace iv: Withdraw clear (brusk-acting) insulin offset, and then cloudy (intermediate-acting) insulin

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With the insulin syringe and needle attached, turn the articulate insulin bottle upside downwards, with the needle bevel inside the insulin, withdraw the required corporeality of clear insulin into the syringe.

Then do the same with the cloudy insulin. E'er withdraw clear insulin starting time earlier 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 incertitude, please check with your pharmacist or diabetes nurse educator," say nurses from the Department of Specialty Nursing at Singapore General Hospital (SGH), a member of the SingHealth grouping.

Cardinal reminders

  • Await out for the death date on the canteen
  • Write downwards the date and time of opening on the bottle
  • Discard vial 4 weeks from date of opening
    Refer to manufacturer'south / chemist'southward recommendation
  • Do non apply the insulin if it is discoloured, has lumps or flakes, is frozen or heated

See previous page to acquire how to draw up insulin into a syringe.

See next folio to observe out how to administer insulin with a syringe.

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