Accepted answer
At 10 mg/mL a 0.25 mg draw is 2.5 units on a U-100 barrel and a 2.4 mg draw is 24. Those two numbers decide it, because the concentration is only sensible relative to the smallest and largest volumes you will actually measure with it. 2.5 units is too little of the scale to read honestly — half a graduation is 20 per cent of that dose — so going lower in concentration buys resolution you cannot get back after reconstitution. The other consideration is time: a vial you will finish in a fortnight can be concentrated, and a vial you will draw from for months should be split at reconstitution instead.
Start from the dose you intend to draw and work backwards to the volume that puts it in a readable part of the barrel.
Write the concentration and the resulting units-per-dose on the vial label at reconstitution. The arithmetic that is obvious now will not be obvious at six in the morning three weeks from now.
Concentration and unit conversion at a glance
| Vial | Diluent | Concentration | 0.25 mg | 0.5 mg | 1 mg | 2.5 mg |
|---|
| 5 mg | 1 mL | 5 mg/mL | 5 u | 10 u | 20 u | 50 u |
| 5 mg | 2 mL | 2.5 mg/mL | 10 u | 20 u | 40 u | 100 u |
| 10 mg | 1 mL | 10 mg/mL | 2.5 u | 5 u | 10 u | 25 u |
| 10 mg | 2 mL | 5 mg/mL | 5 u | 10 u | 20 u | 50 u |
| 10 mg | 3 mL | 3.33 mg/mL | 7.5 u | 15 u | 30 u | 75 u |
Units are U-100 insulin units, where 1 unit = 0.01 mL. Divide dose by concentration for millilitres, then multiply by 100.
For a dose that will change during titration, choose the volume for the largest intended dose rather than the first, so the whole schedule fits on one barrel without a mid-vial recalculation.
Insulin syringe barrel graduations are typically 1 unit on a 0.3 mL barrel, 1 unit on a 0.5 mL barrel and 2 units on a 1 mL barrel, which is why the barrel size changes what is readable.
Nothing here is medical advice, and research-use material is not approved for human use.
Write the concentration on the label at reconstitution, in units per dose.
edited 3 Apr 2025 by orla_ferriter — corrected a unit error in the worked example
I have seen exactly this failure mode twice and both times it was the diluent volume. – per_haugen 8 months ago add a comment