Date this schedule started:______________
Next doctor visit:________________
| INSULIN 1 | INSULIN 2 |
Name of Insulin | | |
How long it takes to work: | | |
Morning Dose - (how much/when to take) | | |
Mid-Day Dose - (how much/when to take) | | |
Afternoon Dose - (how much/when to take) | | |
Evening Dose - (how much/when to take) | | |
Where to inject -- Circle all sites doctor recommends. Don't forget to rotate injection sites.
Abdomen | Hips |
Upper arms | Calves |
Thighs | Other:___________ |
Dose Adjustments -- how/when (if directed by physician):
Storage Instructions:
|
You can keep insulin at room temperature for 30 days. If you want to keep it fresh longer, you can store it in the refrigerator. The inside door of the refrigerator is preferred because the insulin will be easier to warm up before you inject it. Always have one extra bottle in the refrigerator as a backup. Insulin that has been outside the refrigerator more than 30 days or that has become cloudy or changed color should be discarded.
|
Review Date:
6/24/2011
Reviewed By:
Nancy J. Rennert, MD, FACE, FACP, Chief of Endocrinology & Diabetes, Norwalk Hospital, Associate Clinical Professor of Medicine, Yale School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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