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cause of diabetes type 2
(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 cause of diabetes type 2. Carry a piece of candy or glucose tablets with you to treatepisodes of low blood sugar cause of diabetes type 2.
• Follow any diet and exercise plan that you have developed with your doctoror nurse cause of diabetes type 2. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels cause of diabetes type 2.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever cause of diabetes type 2. These illnesses may change your insulin requirements cause of diabetes type 2.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective cause of diabetes type 2. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal cause of diabetes type 2. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required cause of diabetes type 2.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist cause of diabetes type 2. Some brands of insulin aspartand syringes are interchangeable, while others are not cause of diabetes type 2. Your doctor and/or pharmacistknow which brands can be substituted for one another cause of diabetes type 2.


What is insulin aspart?
• Insulin is a hormone naturally produced by the pancreas cause of diabetes type 2. Insulin enablesthe body to use the sugar in food as a source of energy cause of diabetes type 2. When the body doesnot produce enough insulin, or when the insulin produced by the body is noteffective enough, the condition is called diabetes mellitus cause of diabetes type 2. This conditionallows sugar levels in the blood to become very high cause of diabetes type 2. 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 cause of diabetes type 2.
• There are three types of insulin, which differ in how soon they beginto work and how long their effects last cause of diabetes type 2. Insulin aspart is one type of insulinthat begins to work very quickly and its effects that last for approximately3 to 5 hours cause of diabetes type 2. Insulin aspart is usually used in combination with another longer-actinginsulin cause of diabetes type 2.
• Insulin aspart may also be used for purposes other than those listedin this medication guide cause of diabetes type 2.


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 cause of diabetes type 2.
• Before using insulin aspart, tell your doctor if you have kidney or liverdisease cause of diabetes type 2. You may require a dosage adjustment or special monitoring during treatment cause of diabetes type 2.
• Insulin aspart is in the FDA pregnancy category C cause of diabetes type 2. This means that itis not known whether it will be harmful to an unborn baby cause of diabetes type 2. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment cause of diabetes type 2.
• It is not known whether insulin aspart passes into breast milk cause of diabetes type 2. Do notuse this medication without first talking to your doctor if you are breast-feedinga baby cause of diabetes type 2.


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


What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin cause of diabetes type 2. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation cause of diabetes type 2.


What happens if I overdose?
• Seek emergency medical attention cause of diabetes type 2.
• 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 cause of diabetes type 2.


What should I avoid while using insulin aspart?
• Do not use alcohol without first talking to your doctor cause of diabetes type 2. It lowers bloodsugar, and you may experience dangerously low blood sugar levels cause of diabetes type 2.
• Follow any diet and exercise plan that you have developed with your doctoror nurse cause of diabetes type 2. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels cause of diabetes type 2.


What are the possible side effects of insulin aspart?
• Rarely, people have allergic reactions to insulin cause of diabetes type 2. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof your throat; swelling of your lips, tongue, or face; or hives) cause of diabetes type 2.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low cause of diabetes type 2. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions cause of diabetes type 2. Also, be sure your family and close friends know how to help you in an emergency cause of diabetes type 2.
• 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 cause of diabetes type 2.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking,headache, cold sweats, pale, cool skin, anxiety, and difficulty concentrating cause of diabetes type 2.
• Keep sugary candy; fruit juice; or glucose tablets on hand to treat episodesof low blood sugar cause of diabetes type 2.
• 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 cause of diabetes type 2.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination cause of diabetes type 2.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high cause of diabetes type 2.
• Side effects may also occur at the site of injection cause of diabetes type 2. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain cause of diabetes type 2.
• Side effects other than those listed here may also occur cause of diabetes type 2. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome cause of diabetes type 2.


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels cause of diabetes type 2. 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 cause of diabetes type 2.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read cause of diabetes type 2.


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