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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention daily insulin injection.
• 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 daily insulin injection.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels daily insulin injection. 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 daily insulin injection.


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


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