How to mix short-acting (clear) insulin and intermediate-interim (cloudy) insulin

Pace 1: Roll and clean

Wash and dry out your hands. Roll the cloudy (intermediate-acting) canteen of insulin betwixt your palms 10 times gently. Exercise not shake vigorously. Clean the summit of vial with an alcohol swab.

Step ii: Add air to cloudy (intermediate-acting) insulin

Draw the required amount of air (equal to the dosage of cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Practice not depict out whatever insulin, and remove the syringe and needle.

Pace 3: Add air to articulate (curt-interim) insulin

Using the same syringe and needle, draw the required corporeality of air (equal to the dosage for clear insulin) into the insulin syringe. Inject air into the articulate insulin vial.

Step four: Withdraw clear (short-acting) insulin beginning, then cloudy (intermediate-acting) insulin

With the insulin syringe and needle fastened, turn the clear insulin bottle upside down, with the needle bevel within the insulin, withdraw the required amount of clear insulin into the syringe.

Then do the same with the cloudy insulin. Ever withdraw clear insulin first earlier withdrawing cloudy insulin. Ensure the total dose of clear and cloudy insulin is correct. If overdrawn, discard and echo.

"Non all types of insulin are suitable to be mixed. If in doubt, please check with your chemist or diabetes nurse educator," say nurses from the Department of Specialty Nursing at Singapore General Hospital (SGH), a member of the SingHealth group.

Key reminders

  • Expect out for the expiry date on the bottle
  • Write down the engagement and time of opening on the bottle
  • Discard vial 4 weeks from date of opening
    Refer to manufacturer's / chemist's recommendation
  • Practice not use the insulin if it is discoloured, has lumps or flakes, is frozen or heated

See previous page to learn how to draw up insulin into a syringe.

See next page to discover out how to administer insulin with a syringe.

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