So yes this one does need you to roll it etc so some call it mixing.
It says.
Before your first injection with a new FlexPen®, you must resuspend the insulin:
Roll the pen between your palms 10 times – it is important that the pen is kept
horizontal (level with the ground).
C
Then move the pen up and down 10 times between the two positions as shown, so the
glass ball moves from one end of the cartridge to the other.
Repeat rolling and moving the pen until the liquid does appear uniformly white, cloudy and aqueous.
For every following injection
Move the pen up and down between the two positions at least 10 times until the liquid does appear uniformly white, cloudy and aqueous.
- Always make sure that you have resuspended the insulin prior to each injection. This reduces the risk of too high or too low blood sugar level. After you have resuspended the insulin, complete all the following steps of injection without delay.
Always check there are at least
12 units of insulin left in the cartridge to allow resuspension. If there are less than 12 units left, use a new FlexPen®. 12 units are marked on the residual scale. See the big picture on top of this instruction.
Do not use the pen if the
resuspended insulin does not look
uniformly white, cloudy and aqueous.
Attaching a needle