Humulin NPH can be mixed with lispro. NPH will have an action
similar to that of Lente, but its duration of action is typically shorter
so your dose may need to be adjusted.
As I understand it, NPA is only used in pre-mixed
insulin.This means that the insulin is already mixed so that for example 20
units of 75/25 would contain 15 units of intermediate-acting insulin and 5
units of rapid acting insulin. You are correct that the manufacturer
says not to mix this with other insulins.
You need to clarify which type of insulin has been prescribed, I think you
probably also need the assistance of a diabetes team at this point since
there are many treatment options available. The Canadian Health
System has a multitude of excellent diabetes programs. To find one in your
area, contact the
Canadian Diabetes Association.
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