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Insulin — Rapid Acting — Half-Life, Dosing & Protocol Guide

Also known as: Lispro / Humalog, Aspart / NovoLog, Glulisine / Apidra

FDA-Approved · FDA NDA 020563 (Humalog) / NDA 020986 (NovoLog) / NDA 021629
Plasma Half-Life
~42–81 min SC; effective duration ~5h
Source: FDA NDA 020563 (Humalog) / NDA 020986 (NovoLog) / NDA 021629 (Apidra)
Route
Subcutaneous / IV / Insulin pump (CSII)
Frequency
With meals (prandial coverage)
Dose Range
~0.1 U/kg per meal (individualised)
Category
Insulin

Pharmacokinetics & Mechanism

Rapid-acting insulin analogs (lispro/Humalog, aspart/NovoLog, glulisine/Apidra) have SC half-lives of 42–81 minutes with onset 10–15 min, peak 45–90 min, and duration approximately 5 hours. B-chain amino acid mutations reduce insulin hexamer self-association, allowing faster SC monomer/dimer absorption. Lispro: B28Pro/B29Lys reversed. Aspart: B28Pro→Asp. Glulisine: B3Asn→Lys, B29Lys→Glu. All bind the insulin receptor → GLUT4 translocation and glucose disposal. Must be administered within 15 minutes of a meal to avoid pre-prandial hypoglycemia.

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