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k9diabetes
09-28-2014, 04:27 PM
Craig is one of our moderators! :) And also the Meter Man...

Any time someone introduces faster acting insulin (R), I recommend starting small, which is easier to do in large doses than it is in small ones.

I see she was on 6.5 units. So I might start by replacing 1 unit of N with a unit of R. That would be the equivalent of 15% R and 85% N.

So just to be clear, you don't ADD the R. You replace the N with the R.

So if she's on 6.5 units of N, you would give 1.0 units of R and 5.5 units of N.

You could go with less than 1 unit... the measuring is challenging though and I think I would start with 1 full unit for ease and consistency of the amount and see how that goes.

Here are some instructions for drawing up the two insulins in one syringe:

YouTube Video

https://www.youtube.com/watch?v=gizYDn2_0Io

PDF

This is a full brochure by BD, looks like a good set of instructions.
https://www.google.com/?gws_rd=ssl#q=mixing+n+and+r+in+one+syringe

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=9&cad=rja&uact=8&ved=0CD0QFjAI&url=http%3A%2F%2Fwps.prenhall.com%2Fwps%2Fmedia%2F objects%2F737%2F755395%2Fmixing_insulins.pdf&ei=5JcoVIiQMsatogTgjYD4CA&usg=AFQjCNFg5yodJgkNwRa4R3RosiGAVMuU3A&sig2=2W6-zXPvon7bYjYOU7SYIg

Brief website
http://nurseslabs.com/how-to-mix-insulin-in-one-syringe/

This is an interesting Insulin Administration guide that talks about which insulins can be mixed.

http://www.empr.com/insulin-administration/article/123646/