At a glance

Blood glucose regulation
Anabolic / muscle nutrient partitioning
Glycogen & protein synthesis support
Hypoglycaemia / fatal overdose risk
Hypokalemia / cardiac arrhythmia
Injection-site reactions / lipodystrophy
BenefitSide effectHealth risk· more & brighter bars = stronger

Effects

  • Blood glucose control: Rapidly lowers circulating blood glucose by driving uptake into skeletal muscle, liver and adipose tissue [1][2].
  • Anabolic / nutrient partitioning: Promotes glycogen synthesis in muscle and liver, and enhances amino acid uptake, supporting muscle protein synthesis [1].
  • Suppression of hepatic glucose output: Inhibits glycogenolysis and gluconeogenesis in the liver, reducing fasting glucose levels [2][6].
  • Lipid metabolism: Inhibits lipolysis and promotes fatty acid esterification, lowering free fatty acid and triglyceride concentrations [3].
  • Potassium shift: Drives potassium from the extracellular to intracellular space, which is used therapeutically in hyperkalaemia but can become a hazard [4][5].
Classification

Peptide hormone / antidiabetic agent

Active half-life

~1.5 h (regular insulin, subcutaneous)

Route

Subcutaneous injection (primary); IV in clinical settings

Onset (regular)

~30 min after subcutaneous administration

Therapeutic index

Narrow — blood glucose monitoring mandatory