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

 

METERS (click here for chart)

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 8/8/07