3614-BD Insulin Adjust Workbook

Insulin Action Type of Insulin Onset of Action Peak Action Duration
LONG ACTING Ultralente
(Use for basal
insulin – taken
in injection or
in a pump to act
through day and
night to keep
blood glucose
levels stable)
Lantus ®
Approx.
12 to 18 hours Approx.
4 to 8 hours
24 to 28 hours
2 to 4 hours No peak, stable 24 hours
Blood Insulin Level Blood Insulin Level
6AM 9AM Noon 3PM 6PM 9PM MidN 3AM 6AM 9AM
The most common insulin used for
basal doses is Lantus ®, although
Ultralente can also be used.
Insulin Action Type of Insulin Onset of Action Peak Action Duration
INTERMEDIATE NPH, Lente 1 to 3 hours 6 to 12 hours 18 to 24 hours
6AM 9AM Noon 3PM 6PM 9PM MidN 3AM 6AM 9AM
NPH insulin may be used as a partial
basal dose in the evening. This is
most commonly used with shortacting
(regular) insulin as a bolus dose.
Fill in the chart/graph below to show the action of the types of insulin you are taking now:
My Bolus __________________ insulin:
My Basal__________________ insulin:
Graph your insulin curves below:
Starts to work at: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Peaks (Works hardest from) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Lasts until: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Starts to work at: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Peaks (Works hardest from) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Lasts until: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
7AM Noon 6PM 12MN 7AM
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