Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/12/2025

Human Insulin Formulations

Active Ingredient and Formulation Characteristics

  • The American Diabetes Association recommends human regular insulin, such as Actrapid, which contains 100 units/mL (U-100) of soluble human insulin as its active ingredient 1, 2
  • Actrapid is classified as a short-acting insulin in diabetes treatment guidelines, with a concentration of 100 units/mL (U-100) 2
  • Human insulin products, like Actrapid, differ from analog insulins that have modified amino acid sequences, according to the American Association of Clinical Endocrinologists 3

Pharmacokinetic Profile and Clinical Considerations

  • The duration of action of Actrapid is approximately 5-8 hours total, as stated by the American Diabetes Association 2
  • Compared to insulin analogs like insulin aspart or lispro, Actrapid has a slower onset and longer duration of action, as noted by the Endocrine Society 3
  • Actrapid can be used in various insulin regimens, including as prandial insulin or in premixed formulations, according to the American Diabetes Association 2

Cost Considerations

  • Human regular insulin like Actrapid is generally less expensive than insulin analogs, with a median AWP of approximately $165 per 1,000 units (U-100 vial) in the U.S., as reported by the American Diabetes Association 2
  • Some pharmacies offer human regular insulin at significantly lower prices (approximately $25/vial), as stated by the National Institute of Diabetes and Digestive and Kidney Diseases 2

Switching Between Insulin Formulations

  • When switching between different insulin formulations, dose adjustments may be necessary due to differences in pharmacokinetic profiles, as recommended by the American Association of Clinical Endocrinologists 4

REFERENCES

3

Insulin Aspart and Insulin Lispro Clinical Profiles [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

4

Insulin Regimen Conversion [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025