certified diabetes educator
(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 certified diabetes educator. Carry a piece of candy or glucose tablets with you to treatepisodes of low blood sugar certified diabetes educator.
• Follow any diet and exercise plan that you have developed with your doctoror nurse certified diabetes educator. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels certified diabetes educator.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever certified diabetes educator. These illnesses may change your insulin requirements certified diabetes educator.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective certified diabetes educator. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal certified diabetes educator. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required certified diabetes educator.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist certified diabetes educator. Some brands of insulin aspartand syringes are interchangeable, while others are not certified diabetes educator. Your doctor and/or pharmacistknow which brands can be substituted for one another certified diabetes educator.
What is insulin aspart?
• Insulin is a hormone naturally produced by the pancreas certified diabetes educator. Insulin enablesthe body to use the sugar in food as a source of energy certified diabetes educator. When the body doesnot produce enough insulin, or when the insulin produced by the body is noteffective enough, the condition is called diabetes mellitus certified diabetes educator. This conditionallows sugar levels in the blood to become very high certified diabetes educator. 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 certified diabetes educator.
• There are three types of insulin, which differ in how soon they beginto work and how long their effects last certified diabetes educator. Insulin aspart is one type of insulinthat begins to work very quickly and its effects that last for approximately3 to 5 hours certified diabetes educator. Insulin aspart is usually used in combination with another longer-actinginsulin certified diabetes educator.
• Insulin aspart may also be used for purposes other than those listedin this medication guide certified diabetes educator.
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 certified diabetes educator.
• Before using insulin aspart, tell your doctor if you have kidney or liverdisease certified diabetes educator. You may require a dosage adjustment or special monitoring during treatment certified diabetes educator.
• Insulin aspart is in the FDA pregnancy category C certified diabetes educator. This means that itis not known whether it will be harmful to an unborn baby certified diabetes educator. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment certified diabetes educator.
• It is not known whether insulin aspart passes into breast milk certified diabetes educator. Do notuse this medication without first talking to your doctor if you are breast-feedinga baby certified diabetes educator.
How should I use insulin aspart?
• Use insulin aspart exactly as directed by your doctor certified diabetes educator. If you do notunderstand these instructions, ask your doctor, nurse, or pharmacist to explainthem to you certified diabetes educator.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective certified diabetes educator. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal certified diabetes educator. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required certified diabetes educator.
• Insulin aspart is usually used immediately before a meal (a meal shouldbe started within 5 to 10 minutes after injecting the medication) certified diabetes educator. Follow yourdoctor's instructions certified diabetes educator.
• Rotate injection sites as directed by your doctor certified diabetes educator. Usually, you shouldnot inject within 1 inch of the same site within 1 month certified diabetes educator.
• Never reuse a needle or syringe certified diabetes educator. The syringes used must not contain anyother medicinal product or residue certified diabetes educator. Dispose of all needles and syringes in anappropriate, puncture-resistant disposal container certified diabetes educator.
• Do not change the insulin strength (e.g., U-100) or insulin type (e.g.,aspart) unless your doctor recommends a change for you certified diabetes educator.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist certified diabetes educator. Some brands of insulin andsyringes are interchangeable, while others are not certified diabetes educator. Your doctor and/or pharmacistknow which brands can be substituted for one another certified diabetes educator.
• Follow any diet and exercise plan that you have developed with your doctoror nurse certified diabetes educator. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels certified diabetes educator.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever certified diabetes educator. These illnesses may change your insulin requirements certified diabetes educator.
• 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 certified diabetes educator.
• To adequately control diabetes, proper foot care, eye care, dental care,and overall proper health care are necessary certified diabetes educator. Visit your doctor, dentist, eyedoctor, and other heath care practitioners as recommended by your doctor certified diabetes educator.
• Do not use any insulin that is discolored, looks thick, has particlesin it, or looks different from your previous bottles or cartridges of insulinaspart certified diabetes educator.
• Store unopened bottles and cartridges of insulin aspart in the refrigeratorbetween 36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius) certified diabetes educator. Do not storeinsulin aspart in the freezer and do not allow it to freeze certified diabetes educator. Do not use insulinaspart if it has been frozen certified diabetes educator. Throw away any expired insulin aspart certified diabetes educator.
• 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 certified diabetes educator.
What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin certified diabetes educator. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation certified diabetes educator.
What happens if I overdose?
• Seek emergency medical attention certified diabetes educator.
• 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 certified diabetes educator.
What should I avoid while using insulin aspart?
• Do not use alcohol without first talking to your doctor certified diabetes educator. It lowers bloodsugar, and you may experience dangerously low blood sugar levels certified diabetes educator.
• Follow any diet and exercise plan that you have developed with your doctoror nurse certified diabetes educator. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels certified diabetes educator.
What are the possible side effects of insulin aspart?
• Rarely, people have allergic reactions to insulin certified diabetes educator. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof your throat; swelling of your lips, tongue, or face; or hives) certified diabetes educator.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low certified diabetes educator. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions certified diabetes educator. Also, be sure your family and close friends know how to help you in an emergency certified diabetes educator.
• 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 certified diabetes educator.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking,headache, cold sweats, pale, cool skin, anxiety, and difficulty concentrating certified diabetes educator.
• Keep sugary candy; fruit juice; or glucose tablets on hand to treat episodesof low blood sugar certified diabetes educator.
• 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 certified diabetes educator.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination certified diabetes educator.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high certified diabetes educator.
• Side effects may also occur at the site of injection certified diabetes educator. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain certified diabetes educator.
• Side effects other than those listed here may also occur certified diabetes educator. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome certified diabetes educator.
What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels certified diabetes educator. 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 certified diabetes educator.
Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read certified diabetes educator.
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