Basal insulin is your 24-hour, long-acting insulin and is usually taken once per day. Take it at the same time every day. It will keep your blood glucose in range if you don’t eat.
Rapid-acting insulin is taken every time you eat carbohydrates (nutrition dose) and/or when blood glucose is above goal (correction dose). Your total dose before each meal will be nutrition + correction dose. Rapid-acting insulin should be given before EVERY meal or carbohydrate-containing snack.
Rapid-acting insulin begins to work about 15 minutes after injection, peaks in about 1 hour, and continues to work for 2 to 4 hours. The three-hour rule prevents “insulin stacking” and a low blood glucose (BG) or hypoglycemia.
When eating carbohydrate, always take rapid-acting insulin to cover the carbohydrate you are eating, no matter how recently you last took insulin. If you took insulin less than 3 hours ago, use only your insulin to carbohydrate ratio to calculate your insulin dose.
For example: Ray’s insulin to carbohydrate ratio is 1 unit of rapid-acting insulin (Novolog, in this example) for every 15 grams carbohydrate. His correction dose is 1 unit of Novolog for every 50 mg/dL over 150 mg/dL.
Clean the top of the vial with an alcohol pad, then remove the cap from the syringe needle.
Draw air into your syringe—an amount equal to the units of insulin you'll be injecting. To do so, pull back the syringe's plunger until its black stopper reaches your insulin dose amount on the syringe barrel. So if you will be taking 6 units of insulin, pull back the plunger until the stopper hits the 6 etched onto the barrel.
Put the vial on a flat surface and hold it. Insert the syringe into the vial, and press down on the plunger to inject the air from Step 2 back into the vial.
With the syringe still in the bottle, turn the vial and syringe upside down. The tip of the needle should be fully covered by insulin.
Make air bubbles less likely by slowly pulling down on the plunger. Draw insulin past your dose. Tap the syringe a few times so any bubbles rise to the top.
Without removing the syringe from the vial, slowly push the plunger until the edge of its black stopper reaches the number of units in your dose, as marked on the syringe. If you see any bubbles, push all that insulin back into the vial and repeat these steps until no bubbles are present.
Identify an injection site. Pinch up a bit of skin (if necessary). Insert the needle at a 90-degree angle. Hold the needle in the skin for 5 seconds to ensure there is no leakage.
Dispose of your syringe and needle in a sharps container.
Wash and dry your hands.
Arrange your supplies: sharps container, alcohol wipes, insulin pen and needle.
Remove the pen cap and wipe the stopper using an alcohol wipe.
Remove the seal and push the new needle straight onto the pen.
Screw needle on tight.
Remove the outer shield (a), and then remove the inner shield (b).
Check the flow of the medication by dialing two units. With the needle facing up, press the thumb button until you see a drop of medication. If necessary, repeat until you see a drop of medication.
Dial your medication dose.
Clean a small area of skin using an alcohol wipe. Insert needle.
Press the thumb button down. Post injection, count for ten (10) seconds before removing the needle from your skin.
Throw the needle away after one use. Use a safe sharps container.
Tip: Injecting cold insulin may sting. If you store your insulin in the refrigerator, warm it to room temperature before injecting.
As of September 1, 2008, state law (Section 118286 of the California Health and Safety Code) made it illegal to dispose sharps waste in the trash or recycling containers. All sharps waste must be transported to a collection center in an approved sharps container.
Different cities and counties have different sharps disposal options:
Local enforcement agency contacts:
|El Dorado||Environmental Management||530-621-5300|
|Yolo||Planning and Public Works||530-666-8852|
|Placer||Western Placer Waste Management Authority||916-543-3960 (Roseville)