There are different types of insulin and they can be subdivided into:
Sometimes the rapid acting insulin and the short actin insulin are given as insulin sliding scale. This means that the doctor writes the order for the insulin so that the dose increases as the blood sugar increases, up to a certain maximum dose. Insulin sliding scale is used to help the diabetic person to adjust the insulin dose to prevent hypoglycemia or low blood sugar and hyperglycemia or high blood sugar.
It is good for the patient to have information on the types of insulin he or she is using in order to know how to effectively monitor blood glucose..
The insulin types have different onset, peak and duration.
The onset is how long after injection the insulin starts to work in the body.
The peak is the time when the insulin is providing the most glucose lowering effect in the body.
The duration is how long the insulin works in the body, overall.
The table below groups different insulin brands into the types of insulin, generic names, times of onset, peak and the duration of action.
Type of Insulin
|Brand Name||Generic Name||Onset||Peak||Duration|
|Rapid-acting||__ NovoLog||__ Insulin aspart||15 minutes||30 to 90 minutes||3 to 5 hours|
|__ Apidra||__ Insulin glulisine||15 minutes||30 to 90 minutes||3 to 5 hours|
|__ Humalog||__ Insulin lispro||15 minutes||30 to 90 minutes||3 to 5 hours|
|Short-acting||__ Humulin R||__ Regular (R)||30 to 60 minutes||2 to 4 hours||5 to 8 hours|
|__ Novolin R|
|Intermediate-acting||__ Humulin N||__ NPH (N)||1 to 3 hours||8 hours||12 to 16 hours|
|__ Novolin N|
|Long-acting||__ Levemir||__ Insulin detemir||1 hour||Peakless||20 to 26 hours|
|__ Lantus||__ Insulin glargine|
| Pre-mixed NPH |
and regular (short-acting)
| __ Humulin 70/30 |
__ Novolin 70/30
|__ 70% NPH and 30% regular||30 to 60 minutes||Varies||10 to 16 hours|
|__ Humulin 50/50||__ 50% NPH and 50% regular||30 to 60 minutes||Varies||10 to 16 hours|
|Pre-mixed insulin lispro protamine suspension (intermediate-acting) and insulin lispro (rapid-acting||__ Humalog Mix 75/25||__ 75% insulin lispro protamine and 25% insulin lispro||10 to 15 minutes||Varies||10 to 16 hours|
|__ Humalog Mix 50/50||__ 50% insulin lispro protamine and 50% insulin lispro||10 to 15 minutes||Varies||10 to 16 hours|
|Pre-mixed insulin aspart protamine suspension (intermediate-acting) and insulin aspart (rapid-acting)||__ NovoLog Mix 70/30|| __ 70% insulin aspart protamine |
and 30% insulin aspart
|5 to 15 minutes||Varies||10 to 16 hours|
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