Pen injectors Insulins Lilly m HumaPen Luxura HD m HumaPen Savvio m Humalog KwikPen (prefill) m Humalog 200 units/mL KwikPen (prefill) m Humalog Mix25 KwikPen (prefill) m Humalog Mix50 KwikPen (prefill) m Humulin N KwikPen (prefill) m Basaglar KwikPen (prefill) Novo Nordisk Canada Inc. m NovoPen Echo m NovoPen 4 m NovoPen 5 m Fiasp FlexTouch (prefill) m NovoRapid FlexTouch (prefill) m Levemir FlexTouch (prefill) NovoTwist needles are only designed for Novo Nordisk pen devices. sanofi-aventis Canada Inc. m JuniorSTAR m ClikSTAR m Apidra SoloSTAR (prefill) m Lantus SoloSTAR (prefill) m Toujeo 300 units/mL SoloSTAR (prefill) m Others: Note: Check the product monograph for the type of needle that can be used with the pen injector selected. • Use shorter needles of 4 mm, 5 mm or 6mm. They are suitable for all people with diabetes, regardless of body mass index (BMI). • The use of 4 mm pen needles avoids the risk of intramuscular injection. • Structured rotation of anatomical area and injection site avoids lipohypertrophy. m Humalog (lispro) m Humulin R m Humulin 30/70 m Humalog Mix25 m Humalog Mix50 m Humulin N m Basaglar (glargine) m Fiasp (faster aspart) m NovoRapid (aspart) m Novolin ge Toronto m Novolin ge NPH m Novolin ge 30/70 m Novolin ge 40/60 m Novolin ge 50/50 m NovoMix 30 m Levemir (detemir) m Apidra (glulisine) m Lantus (glargine) Suggested document: FIT Canada-Forum for Injection Technique Canada - Recommendation for best practice in injection techniques - 3 rd edition 2017 - www.fit4diabetes.com Realisation: Médecine de jour métabolique de l’Hôtel-Dieu du CHUM - Françoise Desrochers, nurse clinician, diabetes educator, CHUM. Isabelle Schmidt, graphist/Marcel La Haye, photographer. Understand Your Treatment... and Live a Healthy Life! Insulins THIS DOCUMENT WAS PRODUCED THROUGH FINANCIAL SUPPORT BY 5 nd edition, 2017/07
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Understand Your Treatment and Live a Healthy Life · Françoise Desrochers, nurse clinician, diabetes educator, CHUM. Isabelle Schmidt, graphist/Marcel La Haye, ... Nathan DM. and
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Pen injectors Insulins
Lilly
m HumaPen Luxura HD
m HumaPen Savvio
m Humalog KwikPen (prefill)
m Humalog 200 units/mL KwikPen (prefill)
m Humalog Mix25 KwikPen (prefill)
m Humalog Mix50 KwikPen (prefill)
m Humulin N KwikPen (prefill)
m Basaglar KwikPen (prefill)
Nov
o N
ordi
sk C
anad
a In
c.
m NovoPen Echo
m NovoPen 4
m NovoPen 5
m Fiasp FlexTouch (prefill)
m NovoRapid FlexTouch (prefill)
m Levemir FlexTouch (prefill)
NovoTwist needles are only designed for Novo Nordisk pen devices.
sano
fi-av
enti
s Ca
nada
Inc.
m JuniorSTAR
m ClikSTAR
m Apidra SoloSTAR (prefill)
m Lantus SoloSTAR (prefill)
m Toujeo 300 units/mL SoloSTAR (prefill)
m Others:
Note: Check the product monograph for the type of needle that can be used with the pen injector selected.
• Use shorter needles of 4 mm, 5 mm or 6mm. They are suitable for all people with diabetes, regardless of body mass index (BMI).• The use of 4 mm pen needles avoids the risk of intramuscular injection.• Structured rotation of anatomical area and injection site avoids lipohypertrophy.
m Humalog (lispro)
m Humulin R
m Humulin 30/70
m Humalog Mix25
m Humalog Mix50
m Humulin N
m Basaglar (glargine)
m Fiasp (faster aspart)
m NovoRapid (aspart)
m Novolin ge Toronto
m Novolin ge NPH
m Novolin ge 30/70
m Novolin ge 40/60
m Novolin ge 50/50
m NovoMix 30
m Levemir (detemir)
m Apidra (glulisine)
m Lantus (glargine)
Suggested document: FIT Canada-Forum for Injection Technique Canada - Recommendation for best practice in injection techniques - 3rd edition 2017 - www.fit4diabetes.com
Realisation: Médecine de jour métabolique de l’Hôtel-Dieu du CHUM -Françoise Desrochers, nurse clinician, diabetes educator, CHUM.
Isabelle Schmidt, graphist/Marcel La Haye, photographer.
Understand Your Treatment...and Live a Healthy Life!
Insulins
This documenT was produced Through financial supporT by 5nd edition, 2017/07
Realisation: Médecine de jour métabolique de l’Hôtel-Dieu du CHUM -Françoise Desrochers, nurse clinician, diabetes educator, CHUM.
Isabelle Schmidt, graphist/Marcel La Haye, photographer.
Understand Your Treatment...and Live a Healthy Life!
Antidiabetic drugs other than insulins
This documenT was produced Through financial supporT by 5nd edition, 2017/07
Class Drugs Brand name(non-exhaustive list)
Commercialpresentation
Risk ofhypoglycemia
Glucagon-like peptide 1 (GLP-1) receptor agonists
- long-actingDulaglutide - long-acting Trulicity
0.75 mg/0,5 ml
1.5 mg/0,5 mlOnce weekly; single dose pen
No
Glucagon-LikePeptide-1 (GLP-1)receptor agonists
Exenatide Byetta5 µg per dose (1 x 1.2mL - 60 doses)
Prefill pen of 10 µg per dose (0.05 mg/mL - 14 doses)
Prefill pen of 20 µg per dose (0.1 mg/mL- 14 doses)
No
m
m
m
m
m
m
Suggested document: FIT Canada-Forum for Injection Technique Canada - Recommendation for best practice in injection techniques - 3rd edition 2017 - www.fit4diabetes.com
Hypoglycemia:
Blood sugar below 4.0 mmol/LImmediately eat 15 g of fast acting carbohydrates Wait 15 minutes and repeat if necessary
References: Nathan DM. and al. Diabetes Care 2008:31:1473-1478
Realisation: Médecine de jour métabolique de l’Hôtel-Dieu du CHUM - Françoise Desrochers, nurse clinician, diabetes educator, CHUM1st edition 2008: Paméla C. Gariépy, cartoonist; and Jean-Charles Marier, graphist - 2nd edition 2014: Isabelle Schmidt, graphist
Glycosylated hemoglobin (A1C)
Shows the control of diabetes in the last two to three months