Introduction of insulin types Which type is best for your diabetes?


There are different types of insulin for diabetics, which differ in terms of speed of onset of action and durability. If you have diabetes and want to use insulin for the first time, stay with us until the end of this article. In the following, we will explain what are the differences between the types of this medicine? Which insulin is best for each type of diabetes? Are there different types of insulin syringes? Where is the insulin injection site? When can it not be used? What factors affect the amount of insulin absorption? If you have diabetes and want to get enough information about the types of insulin and choosing the best diabetes medication, you should visit a doctor of endocrinology and metabolism. You can contact the best doctors through your doctor’s website. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. Getting to know the types of insulin. Insulin is a hormone that is made in the pancreas and regulates the level of glucose in the body. To produce energy in various organs, insulin must transport glucose from the bloodstream into the body’s cells. If the insulin hormone is not produced enough, the transfer of glucose to the cells decreases and accumulates in the blood. In people with diabetes, insulin is not produced enough and insulin must be injected to compensate. Insulin is one of the drugs for diabetes. This drug may be prescribed for people with type 1 diabetes or type 2 diabetes. Insulins are divided into 5 categories in terms of speed of action in the body, and they are also divided into two categories in terms of transparency. Some of them are transparent and some are cloudy. Cloudy types of insulin must be mixed well before injection to achieve clarity. If the clear variety becomes cloudy, you should not consume it. In the following, we will introduce each type of insulin and explain about it. Types of insulin are classified based on duration of effect. Types of insulin are classified based on duration of effect in the body. Some of them are short-acting and lower blood sugar levels during meals. Long-lasting effects help manage the body’s general needs. 1. Rapid-acting insulin Rapid-acting insulins are activated after 2.5 to 20 minutes of injection. About 1 to 3 hours after injection, insulin reaches its maximum effect and its effect continues in the body for up to 5 hours. This type of insulin works faster after eating. For this reason, you must eat after the injection. Its function is similar to the body’s natural insulin, and the possibility of blood glucose drop with this insulin is low. Three common types of fast-acting insulin are: insulin aspart, lispro, and glulisine. Fast-acting insulins are activated after 2.5 to 20 minutes of injection. About 1 to 3 hours after injection, insulin reaches its maximum effect. Some insulins are fast-acting and work within 2.5 to 20 minutes after injection. 2. Short-acting insulin Short-acting insulin takes longer to start working. It takes about 30 minutes to lower the blood glucose level. For this reason, you should inject insulin 30 minutes before eating. 2 to 5 hours after injection, insulin reaches its maximum effect. 6 to 8 hours after injection, the effect of the drug continues in the body. Two common types of short-acting insulin are: Act Rabid Humulin. 3. Medium-acting insulin is also called basal insulin. This type of insulin is cloudy and must be well mixed before injection. This type of insulin starts working about 60 to 90 minutes after injection. After 4 to 12 hours from the time of injection, its performance reaches its maximum value. The average insulin effect lasts for about 16 to 24 hours. Two common types of intermediate-acting insulin are: human isophane insulin NPH and protaphane insulin. The onset of moderate insulin action is about 60 to 90 minutes after injection. After 4 to 12 hours from the time of injection, its performance reaches its maximum value. 4. Long-acting insulin has a longer-lasting effect. Their performance lasts longer. They are transparent and do not need to be mixed before injection. The most common type of long-acting insulin is insulin glargine. The release of the drug in the body is slow and continuous and does not have an obvious peak effect. The effect of this insulin lasts for about 24 hours. It is usually injected once a day. But the doctor may prescribe it twice a day for some people. Insulin glargine itself is divided into two types of insulin. Lantus insulin: The strength of this insulin is 100 units per milliliter. Togeo insulin: The strength of this insulin is 300 units per milliliter. Its effect is more than 24 hours. Comes with a disposable pen for added safety. In addition to insulin glargine, insulin detmir is also considered as long-acting. This insulin is released slowly and continuously. The effect of Detmir insulin lasts up to 18 hours and is usually injected twice a day. The most common type of insulin detemir is Levemir. Long-acting insulin lasts up to 24 hours and is usually injected once a day. 5. Mixed insulin This type of insulin, as its name suggests, is a mixture of several insulin compounds. Mixed insulin contains rapid or short-acting insulin and intermediate-acting insulin. Common mixed insulins include the following. Mix insulin with fast and medium action Nomix (30% fast acting insulin and 70% medium protaphan) Homolog Mix 25 (25% fast acting and 75% NPH medium acting) Homolog Mix 50 (50% fast acting and 50% NPH medium acting) Mixed fast and long-acting insulin Ryzodag 70:30 (70% long-acting degludec and 30% long-acting aspart) mixed short- and medium-acting insulin Mixtard 30:70 (30% short-acting and 70% medium Protaphan) Mixtard 50:50 (50% short-acting and 50% medium protaphan) Humulin 30:70 (30% short-acting and 70% medium NPH humulin) Which doctor should we consult to choose the best type of insulin among insulin types? There are different types of insulin, and to choose the best type, you should consult an endocrinology and metabolism doctor or an internal medicine doctor. The doctor chooses insulin according to the type of diabetes, age and general condition of the body. You can contact the best endocrinologist or internal medicine doctor through your doctor’s website. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. Types of insulin syringes To inject insulin, you must choose the correct syringe, pen and insulin pump. Syringes are produced in the following three sizes. Syringe 30 units (0.3 ml), 50 units (0.5 ml), 100 units (1.0 ml). To choose a syringe, you must pay attention to the dose of insulin. For example, if you want to inject 10 units of insulin, a 30 unit syringe is a better option. For injecting 55 units, it is better to use a 100 unit syringe. The size of the syringe needle is also from 6 to 8 mm and the appropriate size should be chosen by the doctor. It is better to consult an endocrinologist to choose the syringe and needle. You can have a phone consultation with an endocrinologist and ask your questions to the doctor through the Doktorto website. You can also use the in-person and online appointment system at your doctor. Where is the insulin injection site? Insulin must enter the fat layer through the skin. Fat tissue is called subcutaneous layer. The insulin needle should not be inserted into the muscle or directly into the vein. Because the speed of insulin absorption and action changes. The amount of insulin absorption depends on the injection site. Injection in the abdomen has a faster effect. Injections in the thigh, arm, or buttock decrease the rate of insulin absorption. For this reason, most people inject insulin from the abdomen. Insulin is usually injected into the abdomen for greater effectiveness. Which insulin is best for my diabetes? There are many types of insulins and it is difficult to choose the best type for you. The doctor will choose the best type of insulin for you. To choose insulin, you should consider the following. How to respond to insulin (the duration of absorption and the length of its effect varies from person to person.) Lifestyle, diet, amount of exercise, and the amount of alcohol and smoking consumption have an effect on absorption. How many times a day can you inject insulin? How many times a day do you check your blood sugar? how old are you? The time of insulin injections You should adjust the time of insulin injections so that it is compatible with meals. After eating, blood glucose increases. At this time, the action of insulin must start to use the glucose properly. The appropriate time to inject different types of insulin is as follows. Fast-acting insulin: to be injected about 15 minutes before meals. Short-acting insulin: to be injected 30 to 60 minutes before meals. Medium-acting insulin: to be injected at most one hour before meals. Mixed insulin: It depends on the type of mixed insulin. It should be injected between 10 and 45 minutes before meals. Quoted from webmd regarding the injection time of long-acting insulin: Long-acting insulins are not dependent on the timing of meals. You can take insulin detmir once or twice a day regardless of when you have eaten. These insulins are taken once a day and the timing can be flexible. But some people have to combine long-acting insulin with a short-acting type or another drug that must be taken with food. How to store different types of insulin You can store unopened insulin in the refrigerator. The temperature of the refrigerator should be 2 to 8 degrees Celsius. Insulin should not be frozen. After opening the medicine, you can keep it at room temperature for one month. Insulin should not be stored in direct sunlight. Tips before injecting different types of insulin Before injecting insulin, you must pay attention to the following points. Do not take insulin if any of the following occur. Clear insulin is cloudy. insulin is cloudy; But there are chunks in it or its sediments are not mixed with gentle rotation. The insulin has expired. Insulin is frozen or exposed to very high temperatures. Before injecting insulin, you should pay attention to the expiration date and its transparency. Frequently Asked Questions If you have diabetes and want to start injecting insulin, you probably have questions about different types of insulin. For this reason, we have raised some of your frequently asked questions and provided their answers. Can insulin be used during pregnancy? Some women develop gestational diabetes during pregnancy. Usually, this disease is resolved after the birth of the baby. But sometimes it increases the risk of type 2 diabetes in the future. A healthy diet and regular exercise such as walking are usually enough to manage diabetes in pregnancy. But some pregnant women may need insulin injections. How to use different types of insulin? Insulin can be injected into the abdomen, arm, thigh, or buttock. The drug should be injected into the subcutaneous layer. Usually, insulin is injected 10 to 60 minutes before meals, depending on the time of absorption. If the insulin is of long-acting type, once a day injection is enough. What factors increase insulin absorption? Some factors can affect the speed of insulin absorption. Injection in the trained area, high body temperature due to hot water bath or sauna, massaging the injection site and injection into the muscle increase insulin absorption. What factors reduce insulin absorption? Some factors affect the speed of insulin absorption and lower the amount of absorption. Repeated use of an injection site that causes swelling and scarring will reduce the amount of absorption. This condition is called lipohypertrophy. Smoking and using cold insulin (injection immediately after removing from the refrigerator) can also decrease absorption. Conclusion and guide to see a doctor. Different types of insulin are produced to manage diabetes. These insulins are different in terms of speed of absorption and time of action. Types of insulin include short-acting, fast-acting, medium-acting, long-acting, and mixed. Some of them are injected before meals and some of them (long-acting insulins) are injected once or twice a day. It is up to the doctor to choose the type of insulin. The endocrinologist chooses one type of insulin based on age, physical condition, type of diabetes, lifestyle, and the number of times you check your blood sugar per day. For complete information about insulin medications and how to use them, you should consult with an endocrinologist or internal medicine doctor. You can get an in-person appointment or have a telephone and online consultation through your doctor’s website. Your doctor takes care of your health!

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