Accepted answer
It gives 24 mg/mL, and whether that is sensible depends on the dose you will draw from it. 60 ÷ 2.5 = 24 mg/mL in bacteriostatic water. A 0.5 mg dose is then 2.1 units on a U-100 barrel and a 1 mg dose is 4.2 units. The smaller dose lands too low on the scale to read accurately — more diluent would buy resolution you cannot recover later.
The relevant arithmetic is concentration equals vial content divided by diluent volume, and content is not the same as label claim.
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.
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.
Round to a diluent volume you can measure accurately. Measuring 1.00 mL on a 1 mL syringe is reliable; measuring 1.37 mL on anything is not, and the error propagates into every dose.
Published content assay results across the independent testing services show nominal and measured content differing by one to ten per cent, which makes content the dominant term in dose error.
Write the concentration on the label at reconstitution, in units per dose.
3Same experience here, different supplier. – fib4_reader 2 months ago 4Two of us worked through this independently and arrived here, so at least it reproduces. – RP_C18 4 months ago add a comment