Insulin nomenclature is clearly confusing. Among other reasons:
The same product may have several different names; the names may be different in the U.S. compared to other countries; the same product may be made by several manufacturers and given differing names.
The product may be from different sources (previously all insulin came from animal pancreases: beef, pork, or mixed beef/pork; but now-a-days, insulins usually are semisynthetic human).
Insulins are classified by duration of action, as being rapid, intermediate, and prolonged.
Several manufacturers may also mix two insulin products into the same vial, producing mixtures of 70% one and 30% another, or 50/50. To make it worse, what the US calls 70/30 would be called 30/70 in Europe! And in the US, 70/30, 75/25, and 50/50 are the usual mixtures, but in Europe there will be others such as 80/20 (oops, 20/80).
Some of the "big players" in the insulin arena are described below. I give the U.S. brand name first, then common na...
Generic Name: INSULIN DETEMIR - INJECTION Pronounced: (IN-sue-lin DET-a-meer) Levemir SubQ Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately. US residents can call the US
national poison hotline at 1-800-222-1222. Canadian residents should call their
local poison control center directly. Symptoms of overdose may include
headache, sweating, shakiness, increased hunger, vision changes, nervousness,
tiredness, seizures, loss of consciousness.
Levemir SubQ Missed Dose
It is very important to follow your insulin regimen
exactly. Do not miss any doses of insulin. Discuss specific instructions with
your doctor now in case you miss a dose of insulin in the
Levemir SubQ Notes
Do not share this medication, needles, or syringes with
It is recommended you attend a diabetes education program
to understand diabetes and all the important aspects of its treatment,
Isn’t it funny when a mistake leads you to discover something beneficial? I had this happen to me last week and thought I’d share, so other can benefit from my “mistake”. (Note: My doctor has given me the green light to make these changes to my dosing without his consultation. Please check with your doctor before changing the timing or dosing of your insulin.)
Typically I give myself two injections of Lantus daily: one at bedtime (usually around 10:00 p.m.) and another with breakfast (between 6:30 and 7:00 a.m.) One morning, I realized I forgot my morning Lantus dose and ended up giving it to myself at 10:30 a.m. Later that day, I noticed the Dexcom didn’t show the gradual rise of my blood sugar in the late afternoon to early evening period that I was getting used to seeing. Maybe the timing of the Lantus dose had something to do with it?
I decided to test the theory and try giving the second daily do...
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