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The average range of total daily insulin requirement for maintenance therapy in type 1 diabetic patients lies between 0.5 and 1.0 IU/kg. In pre-pubertal children it usually varies from 0.7 to 1.0 IU/kg, whereas in insulin resistant cases, e.g. during puberty or due to obesity, the daily insulin requirement may be substantially higher. Initial dosages for type 2 diabetic patients are often lower, e.g. 0.3 to 0.6 IU/kg/day.
The dosage form, the dosage and the administration time of the insulin are different due to the individual differences of each patient. In addition, the dosage is also affected by food, working style and exercising intensity. Therefore, patients should use the insulin under doctor's instruction.
An injection should be followed by a meal or snack containing carbohydrates within 30 minutes. Injection is administered subcutaneously in the upper arm, thigh, buttock or abdominal wall. A subcutaneous injection into the abdominal wall results in a faster absorption than from other injection sites. Insulin Human (rDNA) 30/70 & Insulin Human (rDNA) 50/50 are never to be administered intravenously.
Preparation before use:
- Clean your hands.
- Shake or rotate the vial gently to mix the solution uniformly and check if the insulin has the normal appearance.
- In case of using a new vial, flip off the plastic protective cap and wipe the rubber plug with an alcohol swab.
- Draw air into your syringe equal to the amount of insulin needed.
- Puncture the needle into the vial and inject the air.
- Turn the bottle and syringe upside down and withdraw correct dose of insulin into the syringe.
- Before pulling out the needle, check if there are any bubbles remain in the syringe. If so, put the syringe upright and tap the syringe to discharge the air bubbles.
Injection site:
- Choose the area where skin is less tight, such as the upper arm, thigh, buttock or abdomen.
- To avoid tissue damage, choose a site for each injection that is at least 1 cm from the previous injection site.
Injection method:
- Cleanse the skin with alcohol where the injection is to be made.
- Put the needle in such a position as to form 45° angle with the skin.
- Puncture the needle into skin and inject insulin.
- Keep the needle under the skin for at least 6 seconds to make sure the entire dose is injected.
- Pull the needle out and apply gentl
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