Check coverage. Share the Novo Nordisk Savings Card with eligible patients. Help patients save. The proportions of rapid-acting and long-acting insulins are fixed and do not allow for basal versus prandial dose adjustments. Sharing poses a risk for transmission of blood-borne pathogens. Repeated insulin injections into areas of lipodystrophy or localized cutaneous amyloidosis have been reported to result in hyperglycemia; and a sudden change in the injection site to an unaffected area has been reported to result in hypoglycemia.
Advise patients who have repeatedly injected into areas of lipodystrophy or localized cutaneous amyloidosis to change the injection site to unaffected areas and closely monitor for hypoglycemia. Adjustments in concomitant anti-diabetic treatment may be needed.
Severe hypoglycemia can cause seizures, may lead to unconsciousness, may be life threatening or cause death. Hypoglycemia can impair concentration ability and reaction time; this may place an individual and others at risk in situations where these abilities are important e. Hypoglycemia can happen suddenly and symptoms may differ in each individual and change over time in the same individual.
Symptomatic awareness of hypoglycemia may be less pronounced in patients with longstanding diabetes in patients with diabetic nerve disease, in patients using medications that block the sympathetic nervous system e. Risk Factors for Hypoglycemia: The risk of hypoglycemia after an injection is related to the duration of action of the insulin and, in general, is highest when the glucose lowering effect of the insulin is maximal.
Other factors which may increase the risk of hypoglycemia include changes in meal pattern, changes in level of physical activity, or changes to co-administered medication.
Patients with renal or hepatic impairment may be at higher risk of hypoglycemia. Patients and caregivers must be educated to recognize and manage hypoglycemia. Untreated hypokalemia may cause respiratory paralysis, ventricular arrhythmia, and death. Monitor potassium levels in patients at risk for hypokalemia if indicated e. Insulin is used to treat people who have diabetes. Each type of insulin acts over a specific amount of time.
The amount of time can be affected by exercise, diet, illness, some medicines, stress, the dose, how you take it, or where you inject it. The table below is a general guide. Your results may be different. Insulin strength is usually U or units of insulin in one milliliter of fluid. Short-acting regular insulin is also available in U This is five times more concentrated than U regular insulin. Long-acting insulin glargine is also available in U This is three times more concentrated than U long-acting insulin.
Be sure to check the concentration of your insulin so you take the right amount. Insulin is made by different companies. Make sure you use the same type of insulin consistently. Rapid-acting insulins work over a narrow, more predictable range of time. Because they work quickly, they are used most often at the start of a meal.
Rapid-acting insulin acts most like insulin that is produced by the human pancreas. It quickly drops the blood sugar level and works for a short time. If a rapid-acting insulin is used instead of a short-acting insulin at the start of dinner, it may prevent severe drops in blood sugar level in the middle of the night.
Short-acting insulins take effect and wear off more quickly than long-acting insulins. A short-acting insulin is often used 30 minutes before a meal so that it has time to work.
These liquid insulins are clear and do not settle out when the bottle vial sits for a while. You should not use these insulin in case they have changed colors or have particles in them. A common side effect between these insulin drugs is hypoglycemia. Hypoglycemia is a medical condition that happens when the blood sugar is below the normal range. You can quickly treat this condition by taking a fast acting sugar, such as hard candy, non diet soda and fruit juice.
Allergic reactions are another common side effect between Novolog and Novolin. Symptoms including swelling at the injection spot, wheezing, difficulty breathing, sweating, rapid heartbeat, swelling of throat and tongue. There are some differences between Novolin and Novolog that they cannot be used interchangeably.
This is because both medications are prescribed to patients under different situations. Both drugs refers to insulin that are used to lower high blood sugar in people with diabetes.
However, they differ in terms of peak time and how long they start to work in the body after injecting them under the skin. Novolin is a short to intermediate acting insulin. While Novolog refers to a fast acting insulin. However, they can last up to 24 hours in the body. When it comes to cost, Novolog is usually more expensive compared to Novolin. Disclaimer: Please note that the contents of this community article are strictly for informational purposes and should not be considered as medical advice.
This article, and other community articles, are not written or reviewed for medical validity by Canadian Insulin or its staff.
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