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