What specific points would you include regarding managing insulin therapy? Select all that apply
a. Store unused insulin in the freezer.
b. The insulin can be used if it is yellow but not expired.
c. Administer the lispro (Humalog) within 15 minutes of eating.
d. Ideally, the glargine (Lantus) should be administered at bedtime.
e. Always administer the injections in the same, easy-to-reach location.
f. The current vial of lispro (Humalog) can be kept at room temperature for 1 month.
g. Two injections will be needed to administer lispro (Humalog) and glargine (Lantus).
c, d, f, g
Insulin sites are rotated to prevent lipodystrophy, which results in the uneven absorption. Instruct
the patient to rotate sites within the same general location for about 1 week before moving to a
new location. Glargine (Lantus) is always administered as a separate injection and not mixed with
any other insulin because it has a different pH that makes it incompatible. Ideally, glargine (Lantus)
should be administered at bedtime. Insulin vials that the patient is currently using can be left at
room temperature for up to 4 weeks unless the room temperature is higher than 86 ° F, or below
freezing. Because heat and freezing alter the insulin molecule, vials should be kept out of direct
sunlight and never be frozen. Expired or discolored insulin should not be used. Give insulin lispro
(Humalog) approximately 15 minutes before meals because of its quick onset of action.
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