0 
0�
�
�
Insulin types are discussed in the table below.�
Insulin Type | Onset | Peak | Duration |
Ultra short acting: insulin lispro, insulin aspart, insulin glulisine� Usually taken before a meal to cover the blood glucose elevation from eating Used with longer-acting insulin | 12-30 min | 0.5-3 hr | 3-5 hr |
Short acting: regular insulin Usually taken about 30 minutes before a meal to cover blood glucose elevation from eating � Used with longer-acting insulin | 30 min | 2.5-5 hr | 4-24 hr |
Intermediate acting: insulin NPH� Covers the blood glucose elevations when rapid-acting insulins stop working Often combined with rapid- or short-acting insulin and usually taken twice a day | 1-2 hr | 4-12 hr | 14-24 hr |
Long acting: insulin glargine , ultralente insulin, insulin detemir Often combined, when needed, with rapid- or short-acting insulin Lowers blood glucose levels when rapid-acting insulins stop working Taken once or twice a day | 3-4 hr | No defined peak | ≥24 hr |
�
�
�
