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Insulin Mixtard contains two types of insulin, one is short acting and the other one is intermediate/Long acting. Human Actraprid insulin is a short-acting insulin. So, we can say that Mixtard already contains Actraprid.
We never mix them together. However, when we use Mixtard and don't get adequate control then we add Actraprid particularly at lunch as we usually prescribe Mixtard before breakfast and before dinner.
Blood sugar control starts within 30 minutes of taking the insulin. Exact dose required needs to be calculated based on the blood sugar values.
I hope it helps.
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