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Should I use a 18G drawing needle to draw and something finer to administer?

Asked 15 Mar 2026Modified 9 days agoViewed 9.8k times
19

I have a logging thermometer, a box of insulin syringes and no illusions about my worktop being sterile.

I have read the obvious sources and they disagree with each other, so I would rather ask people who have actually done this.

I have a working setup and a notebook, and I am prepared to be told that my setup is inadequate if that is the answer.

Which parts of this are load-bearing and which parts are habit?

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RS
askedrota_site55k3815 Mar 2026

5 Answers

Accepted answer first, then by votes
54

Accepted answer

The underlying point is that work in the order concentration, then volume, then units, and the arithmetic stops being confusing. Concentration is milligrams per millilitre and comes from the vial contents and the diluent volume. Volume per dose is dose divided by concentration. Units on a U-100 syringe are volume in millilitres multiplied by one hundred.

The rounding error accumulates if you round too many times — rounding concentration to 5.0, rounding the dose volume to 0.1 mL, rounding the unit reading to 10 — and the safest approach is to work the full precision and round only the final answer.

Reading a lyophilised cake

AppearanceInterpretationAction
Intact opaque puck, proud of baseCycle ran correctlyProceed
Slumped to one sideShipped before fully dry, or vibrationUsually usable; note it
Glassy translucent filmCollapse above glass transitionTest before use
Melt-back ring at stopperThermal excursion in transitTest before use
No visible cake at allVery low fill, or nothing thereWeigh it; query the supplier

Air bubbles at these volumes are a measurement problem rather than a safety one. A 2 mm bubble in a 0.3 mL syringe is roughly 4 µL, which at 10 units drawn is a four per cent error.

The insulin-unit standard U-100 means 100 units per millilitre, so one unit is 0.01 mL — this is the conversion that trips up more people here than any other single piece of arithmetic.

If in doubt, use more diluent and accept the shorter usable window.

edited 21 Apr 2026 by halvard_ness — added the method parameters

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HN
answered · acceptedhalvard_ness42k3828 Mar 2026
6Have you seen anything published on this, or is it inference from the mechanism? – plate_count_9k 3 months ago
5Useful. I have added the accept threshold suggestion to my own notes. – p_mkhize 2 months ago
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45

On the detail: the arithmetic only stops being confusing once you work it through once and see that it is straightforward.

Worked example, because the general form is easier to trust once you have seen it once. Take a 10 mg vial and add 2 mL of diluent: the concentration is 10 ÷ 2 = 5 mg/mL. A 0.5 mg dose is 0.5 ÷ 5 = 0.1 mL. On a U-100 syringe, where 1 unit = 0.01 mL, that is 0.1 ÷ 0.01 = 10 units. Change the diluent to 1 mL and the same dose becomes 5 units — same dose, half the resolution.

The underlying point is that do not use the same needle to pierce the stopper and to administer. The tip is blunted by the stopper, and the hub now contains a dose you are about to lose to dead space anyway.

The Arrhenius relationship for drawing kinetics means that cold solution takes noticeably longer to draw than room-temperature solution.

Do the arithmetic twice, ideally with someone else doing it independently.

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TG
answeredtandem_gradient85k2488 Apr 2026
18

Concretely, two people working through the same arithmetic independently should get the same answer, and if they do not, someone has made a unit error.

The concentration you actually work with is label claim times content fraction divided by actual diluent volume, which is usually not the same as the nominal concentration because content is usually not 100 per cent and you rarely measure the diluent volume to 0.1 mL precision.

Rotation of injection site is a tolerability measure, not a pharmacokinetic one, but if you are going to do it you might as well do it right.

The content assay results from major testing services show that nominal vial claim and measured content differ by one to ten per cent, making content a driver of dose error.

Write the arithmetic on the vial label. It costs nothing and removes the step where you reconstruct it from memory.

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FC
answeredforty_two_c43k384 Jul 2026
6This is the first explanation of that which has actually made sense to me. – Dr_Hanne_Solberg 3 months ago
5Note that the label instructions differ between agents on precisely this point. – tenth_of_a_unit 2 months ago
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17

The single most useful thing to do is write the arithmetic on the vial label, because you will reconstruct it from memory at an inconvenient moment if you do not.

On filtration: a 0.22 µm syringe filter will remove particulates and organisms, and it will also adsorb a fraction of your peptide onto the membrane — with a low-binding PVDF or PES membrane the loss is typically a few per cent.

Worth noting: the concentration after reconstitution is not the same as the label claim, and most people do not account for the difference.

If in doubt, use more diluent and accept the shorter usable window.

edited 21 Jul 2026 by claudia_ferrante — corrected a unit error in the worked example

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CF
answeredclaudia_ferrante46k3823 Jun 2026
-2

Rounding to the nearest whole syringe unit is usually the right error to make, but understanding which direction it is and why matters.

Breaking it down further: if a 10 mg vial has 96.5 per cent content, you have 9.65 mg of peptide. Divide that by 2.00 mL and your concentration is 4.825 mg/mL, not 5.00 mg/mL, which is a 3.5 per cent systematic error in every dose calculation.

One qualification: if your arithmetic and someone else's disagree by a factor of ten, one of you has made a unit error, and writing out the units at every step is the diagnostic.

Do the arithmetic twice, ideally with someone else doing it independently.

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DK
answeredDr_Tomas_Kral37k3817 Mar 2026
Do you have a reference for the last claim? Not disputing it, just want to read it. – kwn_analytical 4 months ago
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