Talk about your insulin needs with your doctor and diabetes nurse. Follow their advice carefully. This leaflet is a general guide.
If your doctor has switched you from one type or brand of insulin to another, your dose may have to be adjusted by your doctor.
It is recommended that you measure your blood glucose regularly.
Before using Protaphane
Check the label to make sure it is the right type of insulin Disinfect the rubber membrane with a medicinal swab.
Do not use Protaphane
In insulin infusion pumps If the protective cap is loose or missing. Each vial has a protective, tamper-proof plastic cap. If it isnt in perfect condition when you get the vial, return the vial to your supplier If it hasnt been stored correctly or been frozen see 6 How to store Protaphane If its not uniformly white and cloudy when its resuspended.
How to use this insulin
Protaphane is for injection under the skin (subcutaneously). Never inject your insulin directly into a vein or muscle. Always vary the sites you inject, to avoid lumps (see 5 Possible side effects). The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms. Your insulin will work more quickly if you inject it around the waist.
Protaphane vials are for use with insulin syringes with the corresponding unit scale.
To inject Protaphane on its own
1. Just before injecting this insulin, roll the vial between your hands until the liquid is uniformly white and cloudy. Resuspending is easier if the insulin has reached room temperature
2. Draw air into the syringe, in the same amount as the dose of insulin you need
3. Inject the air into the vial: push the needle through the rubber stopper and press the plunger
4. Turn the vial and syringe upside down
5. Draw the right dose of insulin into the syringe
6. Pull the needle out of the vial
7. Make sure there is no air left in the syringe: point the needle upwards and push the air out
8. Check you have the right dose
9. Inject straight away.
To mix Protaphane with fast-acting insulin
1. Roll the vial of Protaphane between your hands. Do this until the liquid is uniformly white and cloudy. Resuspending is easier if the insulin has reached room temperature
2. Draw as much air into the syringe as the dose of Protaphane you need. Inject the air into the Protaphane vial, then pull out the needle
3. Draw as much air into the syringe as the dose of fast-acting insulin you need. Inject the air into the fast-acting insulin vial. Then turn the vial and syringe upside down
4. Draw the right dose of fast-acting insulin into the syringe. Pull the needle out of the vial. Make sure there is no air left in the syringe: point the needle upwards and push the air out. Check the dose
5. Now push the needle into the vial of Protaphane. Then turn the vial and syringe upside down
6. Draw the right dose of Protaphane into the syringe. Pull the needle out of the vial. Make sure there is no air left in the syringe, and check the dose
7. Inject the mixture straight away.
Always mix fast-acting and long-acting insulin in this order.
Inject the insulin
Inject the insulin under the skin. Use the injection technique advised by your doctor or diabetes nurse Keep the needle under your skin for at least 6 seconds to make sure that the full dose has been delivered.