Writing Prescriptions for Diabetes Supplies in AIM Clinic
(with links to charts from DiabetesHealth.com)
INSULINS (click here for
chart)
|
Bolus Insulins |
Basal Insulins |
Pre Mix |
|
aspart (Novolog®) |
glargine (Lantus®) |
NovoLog® Mix 70/30 |
|
lispro (Humalog®) |
detemir (Levemir®) |
Humalog® Mix 75/25 |
|
Humalog® Mix 75/25 |
NPH (Humulin
N®, Novolin N®) |
Novolin or Humulin
70/30 |
Each
insulin vial holds 1000 units of insulin; specify # U/dose on RX if possible,
to calculate # vials needed
SYRINGES (click here for chart)
|
Syringe size |
3/10 cc
(holds up to 30 Units) |
1/2 cc
(holds up to 50 Units) |
1 cc** (holds up to 100 Units) |
|
Needle size |
Short
(5/16”) |
Short
(5/16”) |
Short (5/16”) |
|
Packaging |
100/box |
100/box |
100/box |
**AIM preferred syringes: BD U-100 Insulin Syringes (easy to read, have ultrafine needle, can keep using as dose rises; #100/box)
INSULIN PENS & PEN NEEDLES (2 separate RXs) (click here for chart)
|
DISPOSABLE PENS |
|
|
Novolog, NovoLog® Mix 70/30, Levemir® Flexpen |
Dispense:
5x3 mL (box of
5 pens, Total: 1500 units) |
|
Humalog®, Humalog® Mix 75/25, NPH (Humulin N®) Pen |
Dispense:
5x3 mL (box of
5 pens, Total: 1500 units) |
|
Lantus SoloStar® Pen (new) |
Dispense:
5x3 mL (box of
5 pens, Total: 1500 units) |
|
Apidra® Pen (coming soon) |
|
|
REFILLABLE PENS |
|
|
Lantus® Refillable Pens |
Dispense:
5x3 ml (box of
5 pens, Total: 1500 units) |
|
Humalog® Humapen® Memoir |
|
*Insulin pens DO NOT come with needles. Need separate RX*
|
Insulin
Pen Needles |
Dispense: |
|
BD Ultrafine III Mini-Pen Needles** (fits all
insulin pens) |
Dispense :
#100 (1 box) |
**AIM preferred
|
BLOOD GLUCOSE MONITORING |
DISPENSE: |
|
*One
Touch Ultra 2 Meter Fast;
good for frequent testers; in English and Spanish One
Touch Ultra Mini Meter Simple;
lightweight; portable; no memory |
- One Touch Ultra Teststrips Test ___
times/day; disp 50 or 100 strips - Microfine lancets Dispense: 100
lancets |
|
Ascensia Contour Meter Simple
to use; self-coding; good for slow learners, elderly, low tech |
- Ascensia Contour Teststrips Test ___ times/day; disp
50 or 100 strips - Ascensia Contour lancets Dispense: 100
lancets |
Revised