G_CS_41 Administration of Insulin Injections

The objective of this guideline is to ensure Healthcare workers, working in the community in Lincolnshire, undertake administration of insulin safely in accordance with Trust Policy. To reduce the risks associated with nurses administering insulin. 

Guideline and procedure document to be followed by all staff undertaking administration of insulin.

  • With a syringe and needle using Insulin from a vial
  • With a pen device and needle and a cartridge of Insulin (not appropriate for this training package)
  • With a pre-filled pen device and needle (not appropriate for this training package)
  • Continuous Insulin pump (not appropriate for this training package)

Main types of diabetes:  Type 1 diabetes, Type 2 diabetes insulin requiring, Gestational

Examples of commonly used insulin:

  • Fast acting Insulin (clear) - e.g. Novorapid/ Apidra / Humalog given immediately before, during or immediately after food
  • Short acting Insulin (clear) - e.g. Actrapid / Humulin S 20 to 30 minutes before food
  • Intermediate / medium acting Insulin (cloudy) - e.g. Insulatard / Humulin 1 30 minutes before food
  • Mixture of short and medium acting Insulin (cloudy) - e.g. Mixtard 30 / Humulin M3 given 20 to 30 minutes before food
  • Mixture of fast and medium acting Insulin (cloudy) - e.g. Novomix 30 / Humalog Mix25 given immediately before, during or immediately after food
  • Long acting Insulin (clear) - e.g. Detemir / Glargine given at the same time each day (within an hour)

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