Daily insulin schedule

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.

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Review Date: 5/10/2007
Reviewed By: Robert Hurd, MD, Professor of Endocrinology, Department of Biology, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.


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