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1 2 3 4 5 6 7 8Why a toolkit?The right time The right insulin Mythsand barriersInsulin management:key factsCommissioning forpeople with Type 2diabetesMedicinesoptimisationteamsCommunitypharmacy9AcknowledgementsInsulin regimes – using the Right InsulinRapid Acting Insulin Action– NovoRapid® 66 , Apidra® 67,68,69 , Humalog® 70Short Acting Insulin Action– Actrapid® 71 , Humulin S® 58 , Insuman® Rapid 72Are there other multiple dailyinjection regimes?Insulin ActivityOnset: 5-15 minsPeak: 0.5-1.5 hrsDuration: 3-5 hrsInsulin ActivityOnset: 30 minsPeak: 2-4 hrsDuration: 6-8 hrsA basal plus regime is also an option for someindividuals. Basal plus involves a combinationof intermediate or long acting insulin as a basalinsulin injected once or twice daily with theaddition of a rapid or shorter acting insulin usedas a bolus to cover the meal with the highestcarbohydrate content 20 .0 2 4 6 8 10 12 14 16 185 20 22 240 2 4 6 8 10 12 14 16 185 20 22 24Hours of actionHours of actionRapid Acting insulin onset is within 5-15 minutes.It should be taken just before eating or with fooddue to its rapid and short action 66,67,68,69,70 .Short Acting Insulin onset is approx. 30 minutesafter injection. It can be injected several timesduring the day. It is not frequently used as it canincrease the risk of hypoglycaemia in the morningor early hours of the night. Generally it should beinjected up to 30 minutes before food althougheach preparation differs. See licensing informationfor further information.Back to contentsReferencesRight Insulin, Right Time, Right Dose 41