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10.2105/ajph.41.3.27914819398 99 Kannel WB, Castelli WP, McNamara PM
"This opens a completely new door, new avenue for them and for patients who want therapy to repigment
After positively identifying my patient (my lab supervisor), and double checking that the insulin type (rapid acting Humalog) was accurate and not expired, I proceeded to uncap the needle, picked up the vial of insulin and then promptly botched the draw by ramming the tiny needle tip into the metal seal of the insulin vial, rendering the needle dirty, dull and useless
Once that date passes, potency declines, and results may weaken, so replace the medication promptly
Arrange care when symptoms recur, persist despite simple changes, begin after a medicine adjustment, or occur with diarrhea, vomiting, pain, swallowing difficulty, weight loss, fever, anemia, or poor intake