How to mix short-interim (clear) insulin and intermediate-acting (cloudy) insulin

Step 1: Roll and clean

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Wash and dry your hands. Roll the cloudy (intermediate-acting) bottle of insulin betwixt your palms x times gently. Practice non milk shake vigorously. Make clean the summit of vial with an alcohol swab.

Step 2: Add air to cloudy (intermediate-interim) insulin

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Draw the required amount of air (equal to the dosage of cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Practice non describe out any insulin, and remove the syringe and needle.

Stride 3: Add air to articulate (short-acting) insulin

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Using the same syringe and needle, describe the required amount of air (equal to the dosage for clear insulin) into the insulin syringe. Inject air into the articulate insulin vial.

Step 4: Withdraw clear (curt-acting) insulin first, then cloudy (intermediate-acting) insulin

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With the insulin syringe and needle attached, turn the clear insulin canteen upside down, with the needle bevel within the insulin, withdraw the required amount of clear insulin into the syringe.

Then do the same with the cloudy insulin. Always withdraw clear insulin first before withdrawing cloudy insulin. Ensure the total dose of articulate and cloudy insulin is correct. If overdrawn, discard and repeat.

"Not all types of insulin are suitable to exist mixed. If in doubt, please check with your pharmacist or diabetes nurse educator," say nurses from the Department of Specialty Nursing at Singapore General Hospital (SGH), a member of the SingHealth group.

Primal reminders

  • Look out for the expiry date on the canteen
  • Write down the engagement and time of opening on the bottle
  • Discard vial 4 weeks from date of opening
    Refer to manufacturer's / pharmacist's recommendation
  • Do not use the insulin if it is discoloured, has lumps or flakes, is frozen or heated

Run into previous page to learn how to draw up insulin into a syringe.

See adjacent page to find out how to administer insulin with a syringe.

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