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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention central diabetes insipidus.
• 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 central diabetes insipidus.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels central diabetes insipidus. 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 central diabetes insipidus.


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


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