Insulin is measured in units. Most bottles, cartridges, and pens of insulin sold in the United States have 100 units of insulin per one milliliter of fluid and are labeled U-100. Different strengths, like U-500, U-200 or U-300 also are available in the U.S.
It's important to know the type and strength of insulin you take and whether it should appear cloudy or clear. When you prepare to use a bottle, cartridge, or pen, check the insulin:
NPH should look uniformly cloudy after you gently roll the bottle or pen. All other insulin should look clear. If your insulin doesn't look right, don't use it. Take it back to your pharmacy.
Don't shake your insulin. Gently roll it. Don't toss it around or handle it roughly. If you don't handle your insulin correctly, it's more likely to clump or frost.
Don't use the insulin if you can see clumps after you gently roll the bottle or pen, or if the sides look frosted.
Take steps to store your insulin correctly, or it might not work.
Keep your insulin away from heat and light. Any insulin that you don't store in the refrigerator should be kept as cool as possible (between 56°F and 80°F.)
Never let your insulin freeze. If your insulin freezes, don't use it, even after it's thawed.
Keep unused bottles, cartridges, and pens of insulin in the refrigerator (between 36°F and 46°F). If stored properly, these will be good until the expiration date listed on the insulin.
Keep insulin cartridges and pens that you're currently using at room temperature (between 56°F and 80°F.)
An open insulin bottle, cartridge, or pen is only good for a limited time. Follow these guidelines for discarding insulin:
Glargine (Lantus): Discard opened bottles, pens, and cartridges 28 days after you've started to use them.
Lispro (Humalog): Discard opened bottles, pens, and cartridges 28 days after you've started to use them.
NPH: Discard opened bottles after 42 days. Discard pens and cartridges 14 days after you've started to use them.
All insulin: Discard unopened bottles, pens, and cartridges when they reach the expiration date listed on the medicine. Discard opened bottles, pens and cartridges based on days at room temperature found in the patient medication information sheet that comes with your fill or refill.
Follow these guidelines when you're traveling:
Protect insulin from getting too hot or too cold. Too hot is above 80°F; too cold is below 36°F. Don't leave your insulin in a parked car when temperatures are extreme.
When traveling by bus, train, or plane, keep your insulin, other medicines, and diabetes supplies with you in a carry-on bag preferably in an insulated bag, such as a lunch bag.
To get through airport security, keep your insulin in its original packaging with the prescription label. Have a note from your doctor or pharmacist stating that you are carrying medicine and supplies for diabetes.
Clinical review by Dan Kent, RPh