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Approximate Action times of Dr B's prefered Insullin
Source: "Diabetic Solution",Berstein,Little Brown and Co, New York, 2007, p. 269
  Action time after injection(1)
Generic name of insulin USA Brand name Designation Action Starts Action Ends If Dose < 6 unints Action Ends by Adam-dmer
Aspart(2)
Lispro(3)
Glulisine
Novolog
Humalog
Apidra
Most-rapid-acting(6) 20 minutes 6-7 hours (but assume 5 hours) 1.5 hours
Regular(3) (crystaline) Humulin R
Novolin R
Relion R
Rapid-acting 45 minutes
45 minutes
30 minutes
8-10 hours or more (but assume 5 hours) 2 hours
NPH(4)(3) (cloudy) Humulin N
Novolin N
Intermediate-acting 2-3 hours 12 hours if injected in the morning
8 hours if injected at Bedtime
?
Detemir(3)
Glargine
Levemir
Lantus(5)
Long-acting Slowly over 4 hours 18 hours if injected in the morning
8-9 hours if injected at bedtime(apparent)
?

(1) Doses exceeding 7 units will usually start sooner,
      last longer, and act less predictably than smaller doeses

(2) Aspart is not quite as rapid in its action
      as lispro or glulinise.

(3) Can be diluted for use by children.

(4) Doses of NPH that exceed 7 units may
      have a peak action at about 8 hours after injection

(5) Patients of Dr Bermstein report that
      Lantus does not remain stable past its
      expiration date. Hence, Dr Bernstein now
      recomends using Levemir which is very stable
      and will last more than one month.

(6) Fast acting inslin can boost regular insulin 30% or more




Humulin R unabsorbed insulin chart
Units of Humulin R 0.8 hour 0.6 hour 0.4 hour 0.1 hour hour 0.0
1.000.800.600.400.200.00
2.001.601.200.800.400.00
3.002.401.801.200.600.00
4.003.202.401.600.800.00
5.004.003.002.001.000.00
6.004.803.602.401.200.00
7.005.604.202.801.400.00
8.006.404.803.201.600.00
9.007.205.403.601.800.00
10.008.006.004.002.000.00


Humalog unabsorbed insulin chart
Units of Humalog .7 hour .4 hour .1 hour .0 hour
1.000.700.400.100.00
2.001.400.800.200.00
3.002.101.200.300.00
4.002.801.600.400.00
5.003.502.000.500.00
6.004.202.400.600.00
7.004.902.800.700.00
8.005.603.200.800.00
9.006.303.600.900.00
10.007.004.001.000.00




How the AMA does it...
AMA...Reglar Insulin...Sliding Scale

Blood Glucose Mild Moderate Severe
61-150 0 0 0
151-200 2 3 4
201-250 3 5 7
251-300 5 7 10
301-350 7 9 13
351-400 9 11 16
>400 11 13 19





One unit of Humalog insulin will lower my blood sugar:
 


One unit of Humalog insulin will lower my blood sugar:
 
Convert units of Humalog to
 



One unit of Regular insullin will lower my blood sugar:
 


One unit of Regular insulin will lower my blood sugar:
 
Convert units of Regular to
 


 
My current bs is:  
 
My bs goal:  
 
One unit of humalog insulin will raise my bs:  
 
Evening Primose Oil(EPO): No, I am not taking a EPO capsule with this meal.
 
  Yes, I am taking   capsules of EPO units
 
  with my meal which will boost my Humalog

insulin: %