The formula behind the number
Reconstitution math is two steps. First you find the concentration of the reconstituted vial, then you find the volume that carries the dose. The syringe reading is a third step only because insulin syringes are marked in units rather than millilitres.
- Concentration (mg/mL) = vial strength in mg ÷ bacteriostatic water in mL.
- Volume (mL) = dose in mg ÷ concentration in mg/mL. A dose given in mcg is divided by 1,000 first.
- Units on a U-100 syringe = volume in mL × 100.
A worked example
A 5 mg vial reconstituted with 2 mL of bacteriostatic water, against a 250 mcg dose set by a healthcare professional:
| Step | Calculation | Result |
|---|---|---|
| Concentration | 5 mg ÷ 2 mL | 2.5 mg/mL |
| Dose in mg | 250 mcg ÷ 1,000 | 0.25 mg |
| Volume | 0.25 mg ÷ 2.5 mg/mL | 0.1 mL |
| Syringe units | 0.1 mL × 100 | 10 units |
So the draw is to the 10 unit mark. Change the water volume and the mark moves: the same 5 mg vial reconstituted with 1 mL instead gives 5 mg/mL, and the same 250 mcg dose lands at 5 units. The dose count does not move with it: the vial holds 20 doses of 250 mcg either way, which the peptide dosage calculator works out alongside the draw.