The drug Gensulin N is intended for subcutaneous administration. The dose of the drug is determined by the doctor individually in each case based on the concentration of glucose in the blood. On average, the daily dose of the drug ranges from 0.5 to 1 IU / kg body weight (depends on the individual characteristics of the patient and the concentration of glucose in the blood).
In type 2 diabetes, the mean initial dose is 0.2 IU / kg body weight.
The drug Gansulin N can also be administered intramuscularly, although this is not recommended.
The drug Gensulin H can not be administered intravenously. The drug Gensulin H can be used in intensified insulin therapy, securing the secretion of basal insulin. The drug Gensulin H can be used at the beginning of insulin therapy of type 2 diabetes. In accordance with the algorithm of insulin therapy, the drug is administered 1-2 times a day.
The temperature of the insulin should be appropriate at room temperature.
The drug Gansulin H is usually injected subcutaneously into the thigh area. Injections can also be made in the anterior abdominal wall, buttock or shoulder area in the projection of the deltoid muscle.At least once a month, it is necessary to change the injection site within the anatomical area to prevent lipodystrophy.
It is necessary to carefully follow the rules of subcutaneous administration of the drug to prevent the needle from entering the blood vessel. In this regard, the patient must be trained in injection techniques when using insulin.
Do not massage the injection site of insulin after its injection.
The drug Gensulin N can be administered alone or in combination with short-acting insulin (Gensulin R preparation) (see section "Instructions for use").
The drug Gansulin H can be used in combination with oral hypoglycemic drugs.
Instructions for use
Immediately before use, the preparation Gansulin H in vials or cartridges must be rolled between the palms and rotated ten times by 180 ° until the contents become uniformly cloudy. The procedure must be repeated until the contents are mixed. The cartridges contain a small glass bead that promotes mixing. Do not vigorously shake the vial or cartridge, as this can cause the formation of foam, which prevents the correct dose set.It is necessary to regularly check the appearance of insulin in vials and cartridges. Do not use the product if it contains flakes. Do not apply the drug if white particles stick to the bottom or sides of the vial or cartridge, creating frosty effects.
The technique of injection with the use of insulin in vials
For the introduction of insulin, special syringes are used depending on the concentration of insulin administered. It is recommended to use syringes of the same type and of one manufacturer. It is necessary to check the correctness of syringe calibration taking into account the concentration of used insulin.
Preparation for injection
- Remove the protective aluminum cap from the vial.
- Disinfect the vial with alcohol. Do not remove the rubber plug!
- Introduce air into the syringe in an amount corresponding to the dose of insulin.
- Insert the needle into the center of the rubber stopper and draw air into the vial.
- Flip the insulin bottle upside down with the needle inside.
- Make sure that the end of the needle is in the insulin suspension.
- Get the right dose of insulin into the syringe.
- Remove air bubbles from the syringe.
- Check the correctness of the dose of insulin and remove the needle from the vial.
Dosing Introduction
- Disinfect the skin at the injection site with alcohol.
- With one hand, straighten or fold a large area of the skin.
- With the other hand, insert the syringe needle at an angle of 90 °. Make sure that the needle is inserted completely and is in the subcutaneous fat, and not in the deeper layers of the skin (in very thin people it may be necessary to insert the needle at an angle of 45 °, and not perpendicularly).
- To insert insulin, you must push the plunger all the way down, injecting the dose in less than 5 seconds.
- Carefully remove the needle from the skin by holding a tampon with alcohol. Press the swab to the injection site for a few seconds. Do not rub the injection site after injection.
- To avoid damage to tissues, it is recommended to use different places for each injection. The new injection site should be at least 1-2 cm from the previous site.
The technique of injection with the use of insulin in cartridges
Cartridges with the drug Gensulin N are intended for use with syringe-pens for the introduction of insulin (for example, Bioton Pen and Gensupen). The patient should carefully study the instructions for the use of the syringe-pen for insulin administration and follow the instructions in the instructions for the use of the syringe pen.
The cartridge device does not allow mixing of its contents with other insulins directly in the cartridge. Empty cartridges are not refilled.
Dosing Introduction
Enter the necessary dose of insulin prescribed by your doctor. The injection site should be changed so that the same place is used no more often than once a month.
Mixing solution for injection Gansulin P with suspension for subcutaneous administration Gansulin N
The decision on the need to mix injection for injection Gansulin P with a suspension for subcutaneous administration can be taken only by a doctor. During the preparation of the mixture, insulin with a shorter action (Gensulin P preparation) should be taken into the syringe first. The introduction of the resulting mixture occurs as described above.
Special precautions for disposal and other treatments
Do not reuse the needle. Dispose of the needles according to the instructions. Needles and syringe-pens are items of individual use. The drug contained in the cartridges can be used completely, the cartridges must be disposed of in accordance with the regulations in force.It is necessary to dispose of any unused product or waste in accordance with current requirements.