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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999
The right time
Information
Fast-acting insulin starts to work in minutes and brings the glucose down in 2 to 4 hours. Modern analogue insulins can be given immediately before or straight after food. Fast-acting insulins can also be used to bring down a high glucose level – take care not to cause hypoglycaemia. Longer acting insulins are used for background action or to work later in the day. Their effects may last for days. Some of these insulins can be given without food because they work so slowly e.g. Lantus®, Levemir® .
Guidance
Check with the patient which insulin is given when. See MIMS online for approximate duration of action of insulins.
Quick Links

Diabetes: Insulin Use it Safely Patient Booklet (PDF 491.2KB)
Safe Use of Insulin and You Patient Information Booklet (PDF 398.2KB)
NPSA Rapid Response Report - Safer Administration of Insulin (PDF 60KB)
NPSA Alert - The adult patient's passport to safer use of insulin
Monthly Index of Medical Specialties (MIMS) online












