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Insulin
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5/20/2015 Brands and Types of Insulin: Rapid-Acting, Long-Acting, and More
http://www.webmd.com/diabetes/guide/diabetes-types-insulin 1/4
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Types of Insulin for Diabetes TreatmentIn this articleWhat Type of Insulin Is Best for My Diabetes?
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Many forms of insulin treat diabetes. They're grouped by how fast they start to work and how long theireffects last.
The types of insulin include:
Rapid-actingShort-actingIntermediate-actingLong-actingPre-mixed
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5/20/2015 Brands and Types of Insulin: Rapid-Acting, Long-Acting, and More
http://www.webmd.com/diabetes/guide/diabetes-types-insulin 2/4
What Type of Insulin Is Best for My Diabetes?Your doctor will work with you to prescribe the type of insulin that's best for you and your diabetes. Makingthat choice will depend on many things, including:
How you respond to insulin. (How long it takes the body to absorb it and how long it remains activevaries from person to person.)Lifestyle choices. The type of food you eat, how much alcohol you drink, or how much exercise you getwill all affect how your body uses insulin.Your willingness to give yourself multiple injections per dayHow often you check your blood sugarYour ageYour goals for managing your blood sugar
Afrezza, a rapid-acting inhaled insulin, is now FDA-approved for use before meals for both type 1 and type 2diabetes. The drug peaks in your blood in about 15-20 minutes, researchers say, and it clears your body in2-3 hours. It must be used along with long-acting insulin in people with type 1 diabetes.
The chart below lists the types of injectable insulin with details about onset (the length of time beforeinsulin reaches the bloodstream and begins to lower blood sugar), peak (the time period when it best lowersblood sugar) and duration (how long insulin continues to work). These three things may vary. The finalcolumn offers some insight into the "coverage" provided by the different insulin types in relation tomealtime.
TypeofInsulin&BrandNames Onset Peak Duration RoleinBloodSugarManagementRapidActingLispro (Humalog) 15-30 min. 30-90 min 3-5 hours Rapid-acting insulin covers insulin needs
for meals eaten at the same time as theinjection. This type of insulin is often usedwith longer-acting insulin.
Aspart (Novolog) 10-20 min. 40-50min. 3-5 hours
Glulisine (Apidra) 20-30 min. 30-90min. 1-2 hours
ShortActing
Regular (R) humulin or novolin 30 min. -1hour 2-5 hours 5-8 hoursShort-acting insulin covers insulin needsfor meals eaten within 30-60 minutes.
Velosulin (for use in the insulinpump)
30 min.-1hour 2-3 hours 2-3 hours
IntermediateActing
NPH (N) 1-2 hours 4-12hours 18-24 hoursIntermediate-acting insulin covers insulinneeds for about half the day or overnight.This type of insulin is often combined witha rapid- or short-acting type.
LongActingLong-acting insulin covers insulin No peak time.
5/20/2015 Brands and Types of Insulin: Rapid-Acting, Long-Acting, and More
http://www.webmd.com/diabetes/guide/diabetes-types-insulin 3/4
1 Type1Diabetes
2 Type2Diabetes
3 GestationalDiabetes
4 Prediabetes
5 DiabetesInsipidus
6 Support&Resources
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needs for about one full day. Thistype is often combined, whenneeded, with rapid- or short-actinginsulin.
Insulinglargine(Lantus)
1-1 hourInsulin isdelivered at asteady level.
20-24 hours
Insulindetemir(Levemir)
1-2 hours 6-8 hours Up to 24 hours
PreMixed*Humulin 70/30 30 min. 2-4 hours 14-24 hours These products are generally taken two or
three times a day before mealtime.Novolin 70/30 30 min. 2-12hours Up to 24 hours
Novolog 70/30 10-20 min. 1-4 hours Up to 24 hoursHumulin 50/50 30 min. 2-5 hours 18-24 hours
Humalog mix 75/25 15 min.30min.-2hours
16-20 hours
*Premixed insulins combine specific amounts of intermediate-acting and short-acting insulin in one bottle or insulin pen. (Thenumbers following the brand name indicate the percentage of each type of insulin.)
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5/20/2015 Brands and Types of Insulin: Rapid-Acting, Long-Acting, and More
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