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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention diabetes self management.
• 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 self management.


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


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


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


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


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