Overview
It acts more slowly than rapid-acting insulins like lispro or aspart. U-500 is a concentrated form for people needing very high doses.
What it's used for
- Type 1 and type 2 diabetes
- Hospital treatment of high blood sugar and DKA (IV)
How to take it
- Inject 30 minutes before meals, as directed.
- U-500 must be measured with its own pen or U-500 syringe.
- Rotate injection spots.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Low blood sugar
- Weight gain
- Injection site reactions
Warnings
- Use over-the-counter insulin with a provider's plan.
Other medicines, foods, and alcohol
- Other diabetes medicines add to low blood sugar risk.
- Beta blockers can hide signs of low blood sugar.
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Commonly used in pregnancy.
Missed doses, overdose, and storage
If you miss a dose
Check your blood sugar and follow your provider's plan. Don't take a mealtime dose long after eating without guidance.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Keep unopened vials and pens in the refrigerator. Once opened, follow the label for room-temperature use.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Insulin regular (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.