/clinical/,/clinical/pted/,/clinical/pted/hffy/,/clinical/pted/hffy/diabetes/,

/clinical/pted/hffy/diabetes/6790.hffy

20170389

page

100

UWHC,UWMF,

Clinical Hub,Patient Education,Health and Nutrition Facts For You,Diabetes, Endocrine

Your Diabetes Plan (6790)

Your Diabetes Plan (6790) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Diabetes, Endocrine

6790






Your Diabetes Plan

Date: __________________

Blood Sugar Goals: _____________ (before meals) ____________ (at bedtime)

Testing Schedule:  Before meals  Bedtime  2:00AM  Before/during/after exercise
 Anytime you have signs or symptoms of low or high blood sugar

Type of Insulin Breakfast Lunch Dinner Bedtime
Long-acting insulin:
(basal)

______ units ______ units ______ units ______ units
Meal time insulin:
(bolus)

______ units ______ units ______ units
ξ Skip usual meal dose if you skip a meal.
ξ Take ½ of your usual meal dose if you eat less than half of your meal.

Correction insulin
This insulin is meant to “correct” or lower high blood sugars before meals. It is often given in addition
to the usual dose that you take to cover your meal. Some people also take it if blood sugars are high at
bedtime.

Note: If you need to use correction insulin daily, for three or more days in a row, call your health care
team. Your usual doses may need to be changed.
Before Meals
If Blood Glucose is:
Add this much
extra insulin:
Less than 150 mg/dL

No extra insulin
151 - 200 units
201 - 250 units
251 - 300 units
301 - 350 units
351 - 400 units
Before Bedtime
If Blood Glucose is:
Add this much
extra insulin:
Less than 200 mg/dL

No extra insulin
201 - 250 units
251 - 300 units
301 – 350 units
351 - 400 units
More than 400 units

Types of Insulin

There are many types of insulin. You may need more than one kind to keep your blood sugars in your
goal range. The chart below tells you more about each insulin type.
Onset means how long it takes to start to work.
Peak means when it works at its best.
Duration means how long it affects your blood sugars.


Expiration
Using expired insulin will affect your blood sugar
control. Key points:
ξ Check your vials for an expiration date.
Use this date if the vial has not been
opened yet.
ξ Mark the date you start to use a vial or pen.
ξ Insulin expires whether or not you
refrigerate or store at room temperature.
ξ Do not refrigerate pens after first use.

Expiration dates for vials
ξ Levemir®: 42 days
ξ All other insulin types: 28 days

Expiration dates for insulin pens
ξ NPH: 14 days (disposable) or 7 days
(cartridge)
ξ Levemir® and Toujeo®: 42 days
ξ Tresiba®: 56 days
ξ 70/30, 50/50, 75/25: 10 days
(disposable) or 7 days (cartridge)
ξ All other insulin types: 28 days

Expiration dates for non-insulin injectables
ξ Byetta® (exanatide): 30 days
ξ Victoza® (liraglitude): 30 days


The Spanish version of this Health Facts for You is #7782
Your health care team may have given you this information as part of your care. If so, please use it and call if you have any
questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical advice.
This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are different,
you should talk with your doctor or others on your health care team when using this information. If you have an emergency,
please call 911. Copyright © 3/2017 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by
the Department of Nursing. HF#6790

Insulin Name Onset Peak Duration Key Points
Novolog® (aspart)
Humalog® (lispro)
Apidra® (glulisine)
Humalog® U-200
5-15 minutes 1-2 hours 4-6 hours
Take within 10 minutes
before or after eating.
Regular 30-60 minutes 2-4 hours 6-10 hours Take within 30 minutes of
eating.
NPH 1-2 hours 4-8 hours 10-20 hours
This insulin is cloudy.
Always roll the vial or pen
before using.
Detemir (Levemir®) 1-2 hours 8-12 hours 12-24 hours
Never mix in the same
syringe with any other
insulin.
Degludec
(Tresiba® U-100/U-200) 1 hour 12 hours 42+ hours
Only available in a pen (no
vials)
Glargine
(Lantus®/Basaglar®) 1-2 hours None 24+ hours
Never mix in the same
syringe with any other
insulin.
Glargine U-300 (Toujeo®) 6 hours None 36 hours Only available in a pen (no
vials)