Best source of U-40 syringes??

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Hello,

Ragnar is switching from U-100 to U-40 insulin, and I'm looking for a source of good syringes. I've been using the Family Pharmacy brand from Hocks (U-100), with 1/2-unit markings and a 5/16", 31-gauge needle. The ones I exchanged them for at the vet's today have no 1/2-unit markings, and the needles are 29-gauge and 1/2" long - I don't want to stick the little guy with those big needles any longer than necessary!

Can anyone tell us where to get the best U-40 syringes? No doubt, there are many others here who would also like to know. Price matters, but a fine, short needle matters more, and we would certainly like to have the half-unit marks if we can get them.

Blessings!

Shirley and Ragnar
 
The U-40s are only for veterinary / pet use and so they don't make as many.

I would suggest sticking with the U100 syringes and use the conversion table to adjust the dose. (or multiply dose by 2.5)

1 unit of U40 insulin = 2.5 marks on U100 syringe

just remember that the U40 number is the real dose of insulin when recording how many units given.
 
Hocks carries the Ulti-Care brand, I believe.

U-40 syringes are only available in 28ga and 29ga. And only in 1/2" needle length, no 1/2-unit
markings.

You can use U-100 syringes with U-40 insulin....most of us prefer to.

Here is a write-up I did quite a while ago....hope this helps.


**** Begin Lecture ***

You can get U-100 syringes at most large chain pharmacies,
including WalMart, Fred Meyer, Longs Drugs, Rite Aid, Walgreen's etc.

Pharmacies only carry U-100 because that's what people use.
U-40's are for veterinary use here in the USA.

Going to U-100's means you have more choices in needle length
and gauge. U-100's are available as small as 31ga and 5/16-inch
length "shorts". The shorter, smaller gauge needle is more
comfortable for your cat.

Be sure to get U-100s with 1/2 unit marks. The marks on a U-100
syringe are ***closer together*** than on a U-40.
To put U-40 strength insulin into a U-100 syringe,
a bit of simple math is required.

U-40 units times 2.5 = number of MARKS on the U-100 syringe.




Example:
.2u U-40 x 2.5 = .5 MARKS on the U-100 syringe
.4u U-40 x 2.5 = 1.0 MARKS on the U-100 syringe
.6u U-40 x 2.5 = 1.5 MARKS on the U-100 syringe.
.8u U-40 x 2.5 = 2.0 MARKS on the U-100 syringe.
1.0u U-40 x 205 = 2.5 MARKS on the U-100 syringe.

I try to stick with even-numbered decimal doses (.2 .4 .6 .8)
of U-40 insulin
to make filling the U-100 syringe easier. You can do
the odds (.1 .3 .5 .7 .9), but then you still have to eyeball. Like
.5u U-40 = 1.25 MARKS on the U-100 syringe...you have to eyeball
between the 1.0 and 1.5 Marks.

Please note that we always state the dosage in the number of
TRUE UNITS given, not the number of marks on the syringe.
It doesn't matter if you are using U-40 syringes, U-100 syringes,
or a turkey baster, use the number of TRUE UNITS of U-40 insulin
when stating your dose.

A unit of U-40 insulin in a U-40 syringe is just the
same as a Unit of U-40 insulin in a U-100 syringe. A UNIT is a
UNIT !!!!. But you must measure to a different MARK in the U-100
syringe.

U-100 syringes can run as cheap as $10 for a box of 100 at the
big-box pharmacy stores. Many here use Reli-On brand (WalMart).

I prefer the GNP brand that I mail order from Hocks.com. I use
the 31ga "shorts" with 1/2 unit marks. They aren't any cheaper
than U-40s from my vet (about $20 per box), but I have fewer
problems with air bubbles.

If you hold a U-40 syringe up next to a U-100 syringe, you will
see that the 1.0 mark on a U-40 roughly lines up with the 2.5
mark on a U-100 syringe. (There might be a slight difference if the
barrel size of the U-100 is smaller).

That is why the multiplier of 2.5
to determine what mark to load the U-100 syringe.
The idea is to load the same LIQUID VOLUME as if you were using
the U-40 syringe.


There are four different "properties" of a syringe: U-Number, volume, needle length, and needle diameter.

U-Number: tells you the concentration of insulin that the syringe is calibrated for. The marks on the syringe deliver that many units of the corresponding concentration of insulin. In the U.S. most insulins are U-100 and most syringes are U-100. Each mark on a U-100 syringe corresponds to giving 1 unit of U-100 insulin. A U-40 syringe measures the same way with a U-40 insulin. The only time you need to do some math is if the U of the syringe does not match the U of the insulin (e.g. using a U-100 syringe with a U-40 insulin, or using a diluted insulin).

Assuming you are using a U-100 syringe and U-100 insulin following are true:

Volume: a 3/10cc syringe will deliver between 0 and 30 units of U-100 insulin A 1/2cc syringe can deliver 0-50 units of U-100 insulin. Using the smallest volume syringe you can will help in making the doses more accurate.

Needle length: commonly 1/2 inch, some needles are shorter.
Needle diameter: is measured in gauge. The larger the gauge, the skinnier the needle. So a 29 gauge needle is skinnier than a 27 gauge needle.


Hope this helps...please PM me if you have further questions.
 
did you change insulin, shirley? because i thought you were using Lantus on Ragnar. Lantus is a U-100 insulin that requires U-100 needles.

When punkin was on ProZinc we got our needles from the vet. ProZinc uses U-40 needles.

We switched to lantus and never were told to switch size of needles - that is a huge mistake. That's why i'm flagging this for you, just to make sure you realize you have to match the needles with the insulin, unless you're going to go through the conversion factor that Karen just gave you. seems like it would be easier to just get the appropriate needles that go with that particular insulin.
 
I know that, Julie. Dr. Jen has switched Ragnar to ProZinc because his results varied so much on Lantus. I've also been using GNP U-100 syringes from Hocks, 31 gauge with a 5/16" needle and 1/2 unit markings, and the 29 gauge and 1/2" needle seems a little long and coarse by comparison - I might eventually need the 1/2u markings too, although he's starting on 1u. I will probably use u-100 needles and do the conversion - I knew it was x 2 1/2, but didn't want to do it if I could find short, fine needles in u-40.

Thanks, everyone. It looks as if the right kind of needle just doesn't exist in u-40, and I'll do the math rather than use those big long needles on my little dear! Thanks for the heads-up about the air bubbles too, Karen. I haven't had trouble with those using GNP (same kind you use) and don't want to start!

Blessings,

Shirley and Mr. B. (AKA Ragnar) ;-)
(Edited to add brand of u-100 syringe)
 
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