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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention carring cases for keeping insulin cool.
• 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 carring cases for keeping insulin cool.

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

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

What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels carring cases for keeping insulin cool. 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 carring cases for keeping insulin cool.

Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read carring cases for keeping insulin cool.

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