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agent orange vietnam veterans 2004 update diabetics
(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 agent orange vietnam veterans 2004 update diabetics. Carry a piece of candy or glucose tablets with you to treatepisodes of low blood sugar agent orange vietnam veterans 2004 update diabetics.
• Follow any diet and exercise plan that you have developed with your doctoror nurse agent orange vietnam veterans 2004 update diabetics. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels agent orange vietnam veterans 2004 update diabetics.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever agent orange vietnam veterans 2004 update diabetics. These illnesses may change your insulin requirements agent orange vietnam veterans 2004 update diabetics.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective agent orange vietnam veterans 2004 update diabetics. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal agent orange vietnam veterans 2004 update diabetics. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required agent orange vietnam veterans 2004 update diabetics.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist agent orange vietnam veterans 2004 update diabetics. Some brands of insulin aspartand syringes are interchangeable, while others are not agent orange vietnam veterans 2004 update diabetics. Your doctor and/or pharmacistknow which brands can be substituted for one another agent orange vietnam veterans 2004 update diabetics.


What is insulin aspart?
• Insulin is a hormone naturally produced by the pancreas agent orange vietnam veterans 2004 update diabetics. Insulin enablesthe body to use the sugar in food as a source of energy agent orange vietnam veterans 2004 update diabetics. When the body doesnot produce enough insulin, or when the insulin produced by the body is noteffective enough, the condition is called diabetes mellitus agent orange vietnam veterans 2004 update diabetics. This conditionallows sugar levels in the blood to become very high agent orange vietnam veterans 2004 update diabetics. 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 agent orange vietnam veterans 2004 update diabetics.
• There are three types of insulin, which differ in how soon they beginto work and how long their effects last agent orange vietnam veterans 2004 update diabetics. Insulin aspart is one type of insulinthat begins to work very quickly and its effects that last for approximately3 to 5 hours agent orange vietnam veterans 2004 update diabetics. Insulin aspart is usually used in combination with another longer-actinginsulin agent orange vietnam veterans 2004 update diabetics.
• Insulin aspart may also be used for purposes other than those listedin this medication guide agent orange vietnam veterans 2004 update diabetics.


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 agent orange vietnam veterans 2004 update diabetics.
• Before using insulin aspart, tell your doctor if you have kidney or liverdisease agent orange vietnam veterans 2004 update diabetics. You may require a dosage adjustment or special monitoring during treatment agent orange vietnam veterans 2004 update diabetics.
• Insulin aspart is in the FDA pregnancy category C agent orange vietnam veterans 2004 update diabetics. This means that itis not known whether it will be harmful to an unborn baby agent orange vietnam veterans 2004 update diabetics. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment agent orange vietnam veterans 2004 update diabetics.
• It is not known whether insulin aspart passes into breast milk agent orange vietnam veterans 2004 update diabetics. Do notuse this medication without first talking to your doctor if you are breast-feedinga baby agent orange vietnam veterans 2004 update diabetics.


How should I use insulin aspart?
• Use insulin aspart exactly as directed by your doctor agent orange vietnam veterans 2004 update diabetics. If you do notunderstand these instructions, ask your doctor, nurse, or pharmacist to explainthem to you agent orange vietnam veterans 2004 update diabetics.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective agent orange vietnam veterans 2004 update diabetics. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal agent orange vietnam veterans 2004 update diabetics. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required agent orange vietnam veterans 2004 update diabetics.
• Insulin aspart is usually used immediately before a meal (a meal shouldbe started within 5 to 10 minutes after injecting the medication) agent orange vietnam veterans 2004 update diabetics. Follow yourdoctor's instructions agent orange vietnam veterans 2004 update diabetics.
• Rotate injection sites as directed by your doctor agent orange vietnam veterans 2004 update diabetics. Usually, you shouldnot inject within 1 inch of the same site within 1 month agent orange vietnam veterans 2004 update diabetics.
• Never reuse a needle or syringe agent orange vietnam veterans 2004 update diabetics. The syringes used must not contain anyother medicinal product or residue agent orange vietnam veterans 2004 update diabetics. Dispose of all needles and syringes in anappropriate, puncture-resistant disposal container agent orange vietnam veterans 2004 update diabetics.
• Do not change the insulin strength (e.g., U-100) or insulin type (e.g.,aspart) unless your doctor recommends a change for you agent orange vietnam veterans 2004 update diabetics.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist agent orange vietnam veterans 2004 update diabetics. Some brands of insulin andsyringes are interchangeable, while others are not agent orange vietnam veterans 2004 update diabetics. Your doctor and/or pharmacistknow which brands can be substituted for one another agent orange vietnam veterans 2004 update diabetics.
• Follow any diet and exercise plan that you have developed with your doctoror nurse agent orange vietnam veterans 2004 update diabetics. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels agent orange vietnam veterans 2004 update diabetics.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever agent orange vietnam veterans 2004 update diabetics. These illnesses may change your insulin requirements agent orange vietnam veterans 2004 update diabetics.
• 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 agent orange vietnam veterans 2004 update diabetics.
• To adequately control diabetes, proper foot care, eye care, dental care,and overall proper health care are necessary agent orange vietnam veterans 2004 update diabetics. Visit your doctor, dentist, eyedoctor, and other heath care practitioners as recommended by your doctor agent orange vietnam veterans 2004 update diabetics.
• Do not use any insulin that is discolored, looks thick, has particlesin it, or looks different from your previous bottles or cartridges of insulinaspart agent orange vietnam veterans 2004 update diabetics.
• Store unopened bottles and cartridges of insulin aspart in the refrigeratorbetween 36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius) agent orange vietnam veterans 2004 update diabetics. Do not storeinsulin aspart in the freezer and do not allow it to freeze agent orange vietnam veterans 2004 update diabetics. Do not use insulinaspart if it has been frozen agent orange vietnam veterans 2004 update diabetics. Throw away any expired insulin aspart agent orange vietnam veterans 2004 update diabetics.
• 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 agent orange vietnam veterans 2004 update diabetics.


What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin agent orange vietnam veterans 2004 update diabetics. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation agent orange vietnam veterans 2004 update diabetics.


What happens if I overdose?
• Seek emergency medical attention agent orange vietnam veterans 2004 update diabetics.
• 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 agent orange vietnam veterans 2004 update diabetics.


What should I avoid while using insulin aspart?
• Do not use alcohol without first talking to your doctor agent orange vietnam veterans 2004 update diabetics. It lowers bloodsugar, and you may experience dangerously low blood sugar levels agent orange vietnam veterans 2004 update diabetics.
• Follow any diet and exercise plan that you have developed with your doctoror nurse agent orange vietnam veterans 2004 update diabetics. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels agent orange vietnam veterans 2004 update diabetics.


What are the possible side effects of insulin aspart?
• Rarely, people have allergic reactions to insulin agent orange vietnam veterans 2004 update diabetics. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof your throat; swelling of your lips, tongue, or face; or hives) agent orange vietnam veterans 2004 update diabetics.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low agent orange vietnam veterans 2004 update diabetics. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions agent orange vietnam veterans 2004 update diabetics. Also, be sure your family and close friends know how to help you in an emergency agent orange vietnam veterans 2004 update diabetics.
• 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 agent orange vietnam veterans 2004 update diabetics.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking,headache, cold sweats, pale, cool skin, anxiety, and difficulty concentrating agent orange vietnam veterans 2004 update diabetics.
• Keep sugary candy; fruit juice; or glucose tablets on hand to treat episodesof low blood sugar agent orange vietnam veterans 2004 update diabetics.
• 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 agent orange vietnam veterans 2004 update diabetics.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination agent orange vietnam veterans 2004 update diabetics.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high agent orange vietnam veterans 2004 update diabetics.
• Side effects may also occur at the site of injection agent orange vietnam veterans 2004 update diabetics. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain agent orange vietnam veterans 2004 update diabetics.
• Side effects other than those listed here may also occur agent orange vietnam veterans 2004 update diabetics. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome agent orange vietnam veterans 2004 update diabetics.


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels agent orange vietnam veterans 2004 update diabetics. 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 agent orange vietnam veterans 2004 update diabetics.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read agent orange vietnam veterans 2004 update diabetics.

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