Diabetes practices and regimens can vary between countries, hospitals / clinics, & specialists.  Therefore what may be encouraged in one setting may not be so recommended in another.  This insulin tutorial is not meant to provide a didactic (regimented / fixed) plan for using insulin.  Rather the tutorial intends to show some ways of doing things, and provide some explanations as to why things may be done in a certain way.  Furthermore it is hoped that this tutorial may encourage people to think a bit more about what insulin regimens are possible, & how they might be improved and / or tailored for an individual.  In all this remember that people's mileage may vary - so what works for one person may not be appropriate for someone else.  Therefore, as with all medical information on the Web, it is important that you consult your doctor or diabetes specialist before considering acting on any of the information discussed in this tutorial.


Insulin Tutorial 1-5
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Conventional insulin therapy


To prevent the rise in blood sugar during the morning it is a good idea to add to the long-acting insulin a small amount of regular insulin.

The addition of regular insulin to long-acting insulin is intended to ensure a more powerful insulin effect during the morning. Without regular insulin the urine sample tested before lunch might contain 5 g% of sugar, but with regular insulin it will contain only a trace of sugar, or none at all.



What have you learnt?
If you have only one insulin injection a day, it can be either a long-acting insulin without any regular insulin or preferably a long-acting insulin with a regular insulin.

Long-acting insulin + regular insulin is available either as a premixed insulin formulation or you can mix them yourself in the syringe.

There are many different sorts of

premixed insulin formulations
i.e., ready-made mixtures of regular and NPH insulin.
They contain 15 to 50% regular insulin and 85 to 50% NPH insulin, in proportions such as 15/85%, 25/75%, 50/50%.

Click to simulate some example cases using these types of premixed insulins:

Diabetes Insulin Tutorial
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The information presented at this site is for general use only and is not intended to provide personal medical advice or substitute for the advice of your doctor or diabetes specialist. If you have any questions about any of the information presented here, concerns about individual health matters or the management of your diabetes, please consult your doctor or diabetes specialist
The material in this on-line Diabetes / Insulin Tutorial has been drawn from a number of different sources.
However the original Web-based version can be found at the AIDA Website at: http://www.2aida.org/tutorial.

AIDA diabetes software simulator program of glucose-insulin interaction