Insulin Guide for Pakistan

Usual
TRADE NAME GENERIC NAME CATEGORY ROUTE
Frequency*
Humulin R Thrice a day, IV
Subcutaneous/
Regular insulin Human Short acting infusion or
Intravenous/
Insuget R Sliding scale
Thrice a day or
Apidra Glulisine Rapid acting Subcutaneous
sliding scale
Thrice a day or
HumaLOG Lispro Fast acting Subcutaneous
sliding scale
Novorapid Thrice a day or
Aspart Fast acting Subcutaneous
Flexplen sliding scale
Mixtard 30 Insulin human, r DNA
Novolet or Mixtard or aspart 30% Short/Fast + Twice daily
Subcutaneous
Mixtard 30 HM dissolved insulin and intermediate acting Or Once (as
only
70% isophane or insulin usually HS)
Novomix 30 protamine insulin.
Twice daily
Humalog-Mix 25 Fast + Intermediate Subcutaneous
Lispro + protamine Or Once (as
or 50 acting only
usually HS)
Humulin N NPH(human insulin Twice daily
Subcutaneous
rDNA origin) isophane Intermediate acting Or Once (as
only
Insuget N suspension. usually HS)
70% human insulin
Humulin 70/30 Twice daily
isophane suspension Subcutaneous
Intermediate acting Or Once (as
30% human insulin only
Insuget 70/30 usually HS)
injection rDNA origin.
Twice daily
Insulatard Subcutaneous
Insulin human, r DNA Intermediate acting Or Once (as
Novolet only
usually HS)
Beef insulin purified + Twice daily
Insulin NPH Subcutaneous
protamine sulphate Intermediate acting Or Once (usually
suspension only
injection. HS)
Subcutaneous Once or Twice
Lantus Glargine Long acting
only daily
Subcutaneous Once or Twice
Levemir Detemir Long acting
only daily
Insulin degludec / Subcutaneous
Xultophy Long acting Once
liraglutide only
Degludec/insulin aspart Subcutaneous Once or Twice
Ryzodeg Ultra Long acting
in the ratio 70/30 only daily

*Thrice a day = AC (30min pre-meal) or with meals

*Twice daily = BID with 2 main meals of the day
*Once = HS (bedtime)