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