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adjusting insulin 1500 rule
(IN suh lin AH spart)
NovoLog

What is the most important information I should know about insulin aspart?
• Know the signs and symptoms of low blood sugar (hypoglycemia), whichinclude headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea adjusting insulin 1500 rule. Carry a piece of candy or glucose tablets with you to treatepisodes of low blood sugar adjusting insulin 1500 rule.
• Follow any diet and exercise plan that you have developed with your doctoror nurse adjusting insulin 1500 rule. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels adjusting insulin 1500 rule.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever adjusting insulin 1500 rule. These illnesses may change your insulin requirements adjusting insulin 1500 rule.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective adjusting insulin 1500 rule. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal adjusting insulin 1500 rule. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required adjusting insulin 1500 rule.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist adjusting insulin 1500 rule. Some brands of insulin aspartand syringes are interchangeable, while others are not adjusting insulin 1500 rule. Your doctor and/or pharmacistknow which brands can be substituted for one another adjusting insulin 1500 rule.


What is insulin aspart?
• Insulin is a hormone naturally produced by the pancreas adjusting insulin 1500 rule. Insulin enablesthe body to use the sugar in food as a source of energy adjusting insulin 1500 rule. When the body doesnot produce enough insulin, or when the insulin produced by the body is noteffective enough, the condition is called diabetes mellitus adjusting insulin 1500 rule. This conditionallows sugar levels in the blood to become very high adjusting insulin 1500 rule. Diabetics must use man-madeinsulin or insulin that comes from pigs (which is very similar to human insulin)to lower these high blood sugar levels adjusting insulin 1500 rule.
• There are three types of insulin, which differ in how soon they beginto work and how long their effects last adjusting insulin 1500 rule. Insulin aspart is one type of insulinthat begins to work very quickly and its effects that last for approximately3 to 5 hours adjusting insulin 1500 rule. Insulin aspart is usually used in combination with another longer-actinginsulin adjusting insulin 1500 rule.
• Insulin aspart may also be used for purposes other than those listedin this medication guide adjusting insulin 1500 rule.


What should I discuss with my healthcare provider before using insulin aspart?
• Do not use insulin aspart if you are allergic to insulin or if you havean intolerance of a certain insulin aspart product adjusting insulin 1500 rule.
• Before using insulin aspart, tell your doctor if you have kidney or liverdisease adjusting insulin 1500 rule. You may require a dosage adjustment or special monitoring during treatment adjusting insulin 1500 rule.
• Insulin aspart is in the FDA pregnancy category C adjusting insulin 1500 rule. This means that itis not known whether it will be harmful to an unborn baby adjusting insulin 1500 rule. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment adjusting insulin 1500 rule.
• It is not known whether insulin aspart passes into breast milk adjusting insulin 1500 rule. Do notuse this medication without first talking to your doctor if you are breast-feedinga baby adjusting insulin 1500 rule.


How should I use insulin aspart?
• Use insulin aspart exactly as directed by your doctor adjusting insulin 1500 rule. If you do notunderstand these instructions, ask your doctor, nurse, or pharmacist to explainthem to you adjusting insulin 1500 rule.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective adjusting insulin 1500 rule. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal adjusting insulin 1500 rule. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required adjusting insulin 1500 rule.
• Insulin aspart is usually used immediately before a meal (a meal shouldbe started within 5 to 10 minutes after injecting the medication) adjusting insulin 1500 rule. Follow yourdoctor's instructions adjusting insulin 1500 rule.
• Rotate injection sites as directed by your doctor adjusting insulin 1500 rule. Usually, you shouldnot inject within 1 inch of the same site within 1 month adjusting insulin 1500 rule.
• Never reuse a needle or syringe adjusting insulin 1500 rule. The syringes used must not contain anyother medicinal product or residue adjusting insulin 1500 rule. Dispose of all needles and syringes in anappropriate, puncture-resistant disposal container adjusting insulin 1500 rule.
• Do not change the insulin strength (e.g., U-100) or insulin type (e.g.,aspart) unless your doctor recommends a change for you adjusting insulin 1500 rule.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist adjusting insulin 1500 rule. Some brands of insulin andsyringes are interchangeable, while others are not adjusting insulin 1500 rule. Your doctor and/or pharmacistknow which brands can be substituted for one another adjusting insulin 1500 rule.
• Follow any diet and exercise plan that you have developed with your doctoror nurse adjusting insulin 1500 rule. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels adjusting insulin 1500 rule.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever adjusting insulin 1500 rule. These illnesses may change your insulin requirements adjusting insulin 1500 rule.
• Wear some type of medical identification bracelet, necklace, or otheralert tag to inform others that you have diabetes and that you require insulinin the case of an emergency adjusting insulin 1500 rule.
• To adequately control diabetes, proper foot care, eye care, dental care,and overall proper health care are necessary adjusting insulin 1500 rule. Visit your doctor, dentist, eyedoctor, and other heath care practitioners as recommended by your doctor adjusting insulin 1500 rule.
• Do not use any insulin that is discolored, looks thick, has particlesin it, or looks different from your previous bottles or cartridges of insulinaspart adjusting insulin 1500 rule.
• Store unopened bottles and cartridges of insulin aspart in the refrigeratorbetween 36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius) adjusting insulin 1500 rule. Do not storeinsulin aspart in the freezer and do not allow it to freeze adjusting insulin 1500 rule. Do not use insulinaspart if it has been frozen adjusting insulin 1500 rule. Throw away any expired insulin aspart adjusting insulin 1500 rule.
• Vials or cartridges of insulin aspart in use can be kept unrefrigeratedat room temperature, below 86 degrees Fahrenheit (30 degrees Celsius), for upto 28 days but should not be exposed to excessive heat or sunlight adjusting insulin 1500 rule.


What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin adjusting insulin 1500 rule. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation adjusting insulin 1500 rule.


What happens if I overdose?
• Seek emergency medical attention adjusting insulin 1500 rule.
• Symptoms of an insulin overdose reflect very low blood sugar levels andinclude headache, irregular heartbeat, increased heart rate or pulse, sweating,tremor, nausea, increased hunger, and anxiety adjusting insulin 1500 rule.


What should I avoid while using insulin aspart?
• Do not use alcohol without first talking to your doctor adjusting insulin 1500 rule. It lowers bloodsugar, and you may experience dangerously low blood sugar levels adjusting insulin 1500 rule.
• Follow any diet and exercise plan that you have developed with your doctoror nurse adjusting insulin 1500 rule. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels adjusting insulin 1500 rule.


What are the possible side effects of insulin aspart?
• Rarely, people have allergic reactions to insulin adjusting insulin 1500 rule. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof your throat; swelling of your lips, tongue, or face; or hives) adjusting insulin 1500 rule.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low adjusting insulin 1500 rule. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions adjusting insulin 1500 rule. Also, be sure your family and close friends know how to help you in an emergency adjusting insulin 1500 rule.
• Low blood sugar may occur when too much insulin is used; when meals aremissed or delayed; if you exercise more than usual; during illness, especiallywith vomiting or diarrhea; if you take other medications; after drinking alcohol;and in other situations adjusting insulin 1500 rule.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking,headache, cold sweats, pale, cool skin, anxiety, and difficulty concentrating adjusting insulin 1500 rule.
• Keep sugary candy; fruit juice; or glucose tablets on hand to treat episodesof low blood sugar adjusting insulin 1500 rule.
• Increased blood sugar may occur if not enough insulin is used, if youeat significantly more food then usual, if you exercise less than usual, ifyou take other medications, if you have a fever or other illness, and in othersituations adjusting insulin 1500 rule.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination adjusting insulin 1500 rule.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high adjusting insulin 1500 rule.
• Side effects may also occur at the site of injection adjusting insulin 1500 rule. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain adjusting insulin 1500 rule.
• Side effects other than those listed here may also occur adjusting insulin 1500 rule. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome adjusting insulin 1500 rule.


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels adjusting insulin 1500 rule. Donot take any other medicines, including prescription products or over-the-countermedicines or supplements, without first talking to your doctor or pharmacistduring treatment with insulin adjusting insulin 1500 rule.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read adjusting insulin 1500 rule.


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