Join us   Log in  

PHARMASPIRE - Volume 13, Issue 1, January-March 2021

Pages: 08-10

Date of Publication: 09-Jun-2022

Print Article   Download XML  Download PDF

A mini review on medication incidents involving insulin

Author: Simranjeet Kaur, Abhay Chauhan

Category: Pharmaceutics


Insulin is a life-saving pharmacological therapy used in the management of blood glucose in patients with Type I diabetes and patients with Type II diabetes whose blood sugar levels are not well-managed with oral anti-hyperglycemic agents alone. Insulin may be administered by a syringe, pen, or pump and there are various insulin preparations including rapid-acting, short-acting, long-acting, and pre-mixed. Although insulin use is integral to diabetes management, it can be harmful when used incorrectly. An excessive dose of insulin may cause seizures and coma. This review will outline all the reported incidents that occur due to insulin use.

Keywords: Type II diabetes, medication incidents, insulin


1. Institute for Safe Medication Practices. ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Institute for Safe Medication Practices; 2011. p. 5-10.

2. ISMP Canada. Top 10 Drugs Reported as Causing Harm through Medication Error. ISMP Canada Safety Bulletin; 2006. p. 1-2.

3. ISMP Canada. Community pharmacy incident reporting (CPhIR) database. Can Saf Bull 2006;6:10-8.

4. Rodziewuz TD, Houseman B, Hipskind JE. Medical Error Prevention. Treasure Island, FL: StatPearls Publishing; 2015. p. 1-5.

5. ISMP Canada. Deaths Associated with Medication Incidents Occurring Outside Regulated Healthcare Facilities. Vol. 14. ISMP Canada Safety Bulletin; 2014. p. 1-2.

6. ISMP Canada. Preventable Medication Errors-Look-alike/Sound-alike Drug Names. Pharmacy Connection. Berlin: Springer; 2014. p. 28-33.

7. Kawano A, Li Q, Ho C. Preventable Medication Errors-Look-alike/Sound-alike Drug Names. Pharmacy Connection. Berlin: Springer; 2014. p. 28-33.

8. ISMP Canada. Patient Report of Insulin Mix-up Shared. ISMP Canada Safety Bulletin; 2007. p. 1-2.

9. ISMP Canada. Lowering the risk of medication errors: Independent double-check. ISMP Can Saf Bull 2005;5:1-2.

10. ISMP Canada. Patient report of insulin mix-up shared. ISMP Can Saf Bull 2007;7;1-2.

11. Ciociano N, Bagnasco L. Look alike/sound-alike drugs: a literature review on causes and solutions. Int J Clin Pharm 2014;36:233-42.

12. ISMP Canada. Do Not Use Dangerous Abbreviations, Symbols and Dose Designations. ISMP Canada; 2006. p. 1-5.

13. ISMP Canada. Insulin errors. ISMP Can Saf Bull 2003;3:1-2.

14. ISMP Canada. Top 10 drugs reported as causing harm through medication error. ISMP Can Saf Bull 2006;6:1-2.

15. ISMP Canada. Community Pharmacy Incident Reporting (CPhIR) Database. ISMP Can Saf Bull 2006;6:1-2.