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www.DiabetesHealth.com / PRODUCT REFERENCE GUIDE 2010 / DIABETES HEALTH Insulin Manufacturer Onset (approximately) Peak (approximately) Duration (approximately) Room Temperature Storage Range (5986 F) Need to Roll Briskly 10+ Times? Cartridge Sizes Pens That Fit the Cartridges R A P I D
A C T I N G Apidra (insulin glulisine [rDNA origin] injection) sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Apidra SoloSTAR (preflled) sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Apidra Cartridge sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No 3 mL OptiClik Humalog Vial (insulin lispro) Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Humalog Cartridge Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No 3 mL Autopen Humalog Pen (preflled) Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days
c No N/A N/A NovoLog Vial (insulin aspart) Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No N/A N/A NovoLog PenFill Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No 3 mL NovoPen 3, NovoPen Junior NovoLog FlexPen (preflled) Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No 3 mL N/A S H O R T
A C T I N G Humulin R (Regular) Vial a Eli Lilly & Company 3060 minutes 24 hours 58 hours Up to 28 days No N/A N/A Novolin R Vial (Regular human insulin) Novo Nordisk 30 minutes 80120 minutes 8 hours N/A No N/A N/A ReliOn/Novolin R Vial Novo Nordisk 30 minutes 80120 minutes 8 hours Up to 42 days No N/A N/A I N T E R M E D I A T E
A C T I N G Humulin N (NPH) Vial Eli Lilly & Company 12 hours 28 hours 1424 hours Up to 28 days Yes N/A N/A Humulin N (NPH) Pen (preflled) Eli Lilly & Company 12 hours 28 hours 1424 hours Up to 14 days c Yes N/A N/A Novolin N PenFill (NPH human insulin isophane) Novo Nordisk 1.5 hours 412 hours 24 hours 14 days Yes 3 mL NovoPen3, NovoPen Junior Novolin N Vial (NPH human insulin isophane) Novo Nordisk 1.5 hours 412 hours 24 hours Up to 42 days Yes N/A N/A ReliOn/Novolin N Vial Novo Nordisk 1.5 hours 412 hours 24 hours Up to 42 days Yes N/A N/A All insulins listed are U-100 strength. All insulins should be refrigerated at 3646 F. a: Also available in U-500 by prescription only. b: Lantus and Levemir release at a relatively constant rate over a 24-hour period. c: Pens in use (open) should not be stored in the refrigerator. Apidra Humulin N Pen Insulin NovoLog Humalog www.DiabetesHealth.com / PRODUCT REFERENCE GUIDE 2010 / DIABETES HEALTH Insulin Manufacturer Onset (approximately) Peak (approximately) Duration (approximately) Room Temperature Storage Range (5986 F) Need to Roll Briskly 10+ Times? Cartridge Sizes Pens That Fit the Cartridges R A P I D
A C T I N G Apidra (insulin glulisine [rDNA origin] injection) sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Apidra SoloSTAR (preflled) sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Apidra Cartridge sanof-aventis 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No 3 mL OptiClik Humalog Vial (insulin lispro) Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No N/A N/A Humalog Cartridge Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days No 3 mL Autopen Humalog Pen (preflled) Eli Lilly & Company 1530 minutes 0.52.5 hours 5 hours or less Up to 28 days
c No N/A N/A NovoLog Vial (insulin aspart) Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No N/A N/A NovoLog PenFill Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No 3 mL NovoPen 3, NovoPen Junior NovoLog FlexPen (preflled) Novo Nordisk 1020 minutes 13 hours 35 hours Up to 28 days No 3 mL N/A S H O R T
A C T I N G Humulin R (Regular) Vial a Eli Lilly & Company 3060 minutes 24 hours 58 hours Up to 28 days No N/A N/A Novolin R Vial (Regular human insulin) Novo Nordisk 30 minutes 80120 minutes 8 hours N/A No N/A N/A ReliOn/Novolin R Vial Novo Nordisk 30 minutes 80120 minutes 8 hours Up to 42 days No N/A N/A I N T E R M E D I A T E
A C T I N G Humulin N (NPH) Vial Eli Lilly & Company 12 hours 28 hours 1424 hours Up to 28 days Yes N/A N/A Humulin N (NPH) Pen (preflled) Eli Lilly & Company 12 hours 28 hours 1424 hours Up to 14 days c Yes N/A N/A Novolin N PenFill (NPH human insulin isophane) Novo Nordisk 1.5 hours 412 hours 24 hours 14 days Yes 3 mL NovoPen3, NovoPen Junior Novolin N Vial (NPH human insulin isophane) Novo Nordisk 1.5 hours 412 hours 24 hours Up to 42 days Yes N/A N/A ReliOn/Novolin N Vial Novo Nordisk 1.5 hours 412 hours 24 hours Up to 42 days Yes N/A N/A AMYLIN MIMETIC Amylin is co-secreted in the beta cells of the pancreas along with insulin. Its a frst-in-class injectable medication used with mealtime insulin to control blood sugar in adults with type 1 or type 2 diabetes. SYMLIN (pramlintide acetate) injection SYMLINPEN TM
(pramlintide acetate) pen-injector Amylin Pharmaceuticals, Inc. The amount of SYMLIN used depends on whether the patient has type 1 or type 2 diabetes. * For type 2 diabetes - start SYMLIN at 60 mcg injected subcutaneously, just before major meals (meal must have at least 250 calories or 30 grams of carbohydrate). * For type 1 diabetes - start SYMLIN at 15 mcg injected subcutaneously, just before major meals (meal must have at least 250 calories or 30 grams of carbohydrate). Type 2: 120 mcg Type 1: 60 mcg with major meals Insulin-induced low blood sugar (severe hypoglycemia): Low blood sugar is a serious side efect of insulin therapy. When you use Symlin and insulin, your blood sugar may drop too low, especially if you have type 1 diabetes. If this low blood sugar (severe hypoglycemia) happens, it is seen within three hours after a Symlin injection. Severe low blood sugar makes it hard to think clearly, drive a car, use heavy machinery, or do other risky activities where you could hurt yourself or others. When you frst start Symlin, your healthcare professional should tell you to reduce the dose of insulin you take before meals by 50 percent. Future insulin changes should be directed by your healthcare professional based on blood sugar testing. It is critical to the safe and efective use of Symlin that you understand your healthcare professionals instructions, follow them carefully, and take your Symlin exactly as prescribed. Nausea is the most common side efect of Symlin. Mild nausea is more likely during the frst weeks after starting Symlin and usually does not last long. Talk to your healthcare professional for advice on how to manage nausea. Customer Support: Eli Lilly & Co. (800) 545-5979 Novo Nordisk (800) 727-6500 sanof-aventis (800) 633-1610 www.DiabetesHealth.com / PRODUCT REFERENCE GUIDE 2010 / DIABETES HEALTH www.DiabetesHealth.com / PRODUCT REFERENCE GUIDE 2010 / DIABETES HEALTH Insulin Manufacturer Onset (approximately) Peak (approximately) Duration (approximately) Room Temperature Storage Range (5986 F) Need to Roll Briskly 10+ Times? Cartridge Sizes Pens That Fit the Cartridges L O N G
A C T I N G Lantus Vial (insulin glargine [rDNA origin] injection) sanof-aventis 1.5 hours None
b 24 hours Up to 28 days No N/A N/A Lantus Cartridge sanof-aventis 1.5 hours None b 24 hours Up to 28 days No 3 mL OptiClik Lantus SoloSTAR (preflled) sanof-aventis 1.5 hours None 24 hours Up to 28 days No N/A N/A Levemir Vial (insulin detemir [rDNA origin] injection) Novo Nordisk 50120 minutes Relatively fat Up to 24 hours Up to 42 days No N/A N/A Levemir FlexPen (insulin detemir [rDNA origin] injection) Novo Nordisk 50120 minutes Relatively fat Up to 24 hours Up to 42 days No 3 mL N/A I N T E R M E D I A T E / R A P I D
A C T I N G Humalog Mix 75/25 Vial Eli Lilly & Company 1530 minutes 0.52.5 hours Up to 24 hours Up to 28 days Yes N/A N/A Humalog Mix 75/25 Pen (preflled) Eli Lilly & Company 1530 minutes 0.52.5 hours Up to 24 hours Up to 10 days c Yes N/A N/A NovoLog Mix 70/30 Vial (70% insulin aspart protamine suspension/30% aspart) Novo Nordisk 1020 minutes 2.4 hours Up to 24 hours Up to 28 days Yes N/A N/A NovoLog Mix 70/30 FlexPen Novo Nordisk 1020 minutes 2.4 hours Up to 24 hours Up to 14 days Yes 3 mL N/A I N T E R M E D I A T E / S H O R T
A C T I N G Humulin 50/50 Vial (50% NPH/50% Regular) Eli Lilly & Company 3060 minutes 0.52.5 hours Up to 24 hours Up to 28 days Yes N/A N/A Humulin 70/30 Vial (70% NPH/30% Regular) Eli Lilly & Company 3060 minutes 0.55 hours Up to 24 hours Up to 28 days Yes N/A N/A Humulin 70/30 Pen (preflled) Eli Lilly & Company 3060 minutes 24 hours Up to 24 hours Up to 10 days Yes N/A N/A Novolin 70/30 Vial (70% NPH/30% Regular) Novo Nordisk 30 minutes 212 hours 24 hours Up to 42 days Yes N/A N/A ReliOn/Novolin 70/30 Vial Novo Nordisk 30 minutes 2-12 hours 24 hours Up to 42 days Yes N/A N/A Humulin 70/30 Pen Lantus Insulin All insulins listed are U-100 strength. All insulins should be refrigerated at 3646 F. a: Also available in U-500 by prescription only. b: Lantus and Levemir release at a relatively constant rate over a 24-hour period. c: Pens in use (open) should not be stored in the refrigerator. NovoLog Mix 70/30 FlexPen Lantus Levemir www.DiabetesHealth.com / PRODUCT REFERENCE GUIDE 2010 / DIABETES HEALTH Insulin Manufacturer Onset (approximately) Peak (approximately) Duration (approximately) Room Temperature Storage Range (5986 F) Need to Roll Briskly 10+ Times? Cartridge Sizes Pens That Fit the Cartridges L O N G
A C T I N G Lantus Vial (insulin glargine [rDNA origin] injection) sanof-aventis 1.5 hours None
b 24 hours Up to 28 days No N/A N/A Lantus Cartridge sanof-aventis 1.5 hours None b 24 hours Up to 28 days No 3 mL OptiClik Lantus SoloSTAR (preflled) sanof-aventis 1.5 hours None 24 hours Up to 28 days No N/A N/A Levemir Vial (insulin detemir [rDNA origin] injection) Novo Nordisk 50120 minutes Relatively fat Up to 24 hours Up to 42 days No N/A N/A Levemir FlexPen (insulin detemir [rDNA origin] injection) Novo Nordisk 50120 minutes Relatively fat Up to 24 hours Up to 42 days No 3 mL N/A I N T E R M E D I A T E / R A P I D
A C T I N G Humalog Mix 75/25 Vial Eli Lilly & Company 1530 minutes 0.52.5 hours Up to 24 hours Up to 28 days Yes N/A N/A Humalog Mix 75/25 Pen (preflled) Eli Lilly & Company 1530 minutes 0.52.5 hours Up to 24 hours Up to 10 days c Yes N/A N/A NovoLog Mix 70/30 Vial (70% insulin aspart protamine suspension/30% aspart) Novo Nordisk 1020 minutes 2.4 hours Up to 24 hours Up to 28 days Yes N/A N/A NovoLog Mix 70/30 FlexPen Novo Nordisk 1020 minutes 2.4 hours Up to 24 hours Up to 14 days Yes 3 mL N/A I N T E R M E D I A T E / S H O R T
A C T I N G Humulin 50/50 Vial (50% NPH/50% Regular) Eli Lilly & Company 3060 minutes 0.52.5 hours Up to 24 hours Up to 28 days Yes N/A N/A Humulin 70/30 Vial (70% NPH/30% Regular) Eli Lilly & Company 3060 minutes 0.55 hours Up to 24 hours Up to 28 days Yes N/A N/A Humulin 70/30 Pen (preflled) Eli Lilly & Company 3060 minutes 24 hours Up to 24 hours Up to 10 days Yes N/A N/A Novolin 70/30 Vial (70% NPH/30% Regular) Novo Nordisk 30 minutes 212 hours 24 hours Up to 42 days Yes N/A N/A ReliOn/Novolin 70/30 Vial Novo Nordisk 30 minutes 2-12 hours 24 hours Up to 42 days Yes N/A N/A Customer Support: Eli Lilly & Co. (800) 545-5979 Novo Nordisk (800) 727-6500 sanof-aventis (800) 633-1610