Rx Note

Introduction Each insulin injection device has its own advantages and drawbacks. Insulin Syringes To be used with insulin vials. Reusable insulin pens Not all insulin cartridges can be used in all insulin pens, but they are brand specific. e.g. NovoPen, INSUPen. Pre-filled insulin pens Disposable once finished, but more costly. Insulin Syringes Insulin syringes are available by prescription in 3 sizes: 0.3 ml, 0.5 ml and 1 ml. Choose a syringe based on the dose (units) of insulin you require. A 6 mm and 8 mm needle is recommended over a 12.7 mm needle due to a higher risk of intramuscular injection. NovoPen 3, NovoPen 4, NovoPen 5 and NovoPen 6 Although NovoPen 4 has been phased out and replaced by NovoPen 5 in the UK, NovoPen 4 is still marketed in Malaysia. NovoPen 5 offers an additional feature of a digital display that shows the dose memory. Time elapsed: Each segment represents an hour since the last injection. Last dose volume: Records the last insulin dose in units. On ...

Introduction During Ramadan , fasting is obligatory for all Muslim adults (including adolescents that have reached the age of puberty), with certain groups exempted , such as those who are suffering with illness (including diabetes). Studies have showed that many diabetic patients choose to fast despite being exempted. A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study, 2004 Patterns of Diabetes Care Among People with Type 1 Diabetes During Ramadan: An International Prospective Study (DAR-MENA T1DM), 2020 The DAR 2020 Global survey: Ramadan fasting during COVID 19 pandemic and the impact of older age on fasting among adults with Type 2 diabetes, 2021 Hence, it is important the decision is made on an individual basis and in consultation with the patient's treating physician, taking in to account he severity of illness and the level of risk in...