“…Michael Awuku St. Michael's Hospital, Pramso, Ghana *Address all correspondence to: unclefii07@gmail.com of time about 1-2 h, a usual peak action time of about 4-8 h and duration of 8-12 h. Long-acting analogs including detemir, and glargine have on the average an onset of action of time of about 30-60 min, with no peak action time, last about 16-24 h and can generally be dosed as a single shot per day. There are also premixed analog formulations available which combine different types of analogs [9,20]. Concerns have been raised about the theoretical risk of analogs to cause cancer through insulin's mitogenic pathways.…”