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diabetes type 2 and treatments
(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 type 2 and treatments. Carry a piece of candy or glucose tablets with you to treatepisodes of low blood sugar diabetes type 2 and treatments.
• Follow any diet and exercise plan that you have developed with your doctoror nurse diabetes type 2 and treatments. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels diabetes type 2 and treatments.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever diabetes type 2 and treatments. These illnesses may change your insulin requirements diabetes type 2 and treatments.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective diabetes type 2 and treatments. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal diabetes type 2 and treatments. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required diabetes type 2 and treatments.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist diabetes type 2 and treatments. Some brands of insulin aspartand syringes are interchangeable, while others are not diabetes type 2 and treatments. Your doctor and/or pharmacistknow which brands can be substituted for one another diabetes type 2 and treatments.


What is insulin aspart?
• Insulin is a hormone naturally produced by the pancreas diabetes type 2 and treatments. Insulin enablesthe body to use the sugar in food as a source of energy diabetes type 2 and treatments. 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 type 2 and treatments. This conditionallows sugar levels in the blood to become very high diabetes type 2 and treatments. 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 type 2 and treatments.
• There are three types of insulin, which differ in how soon they beginto work and how long their effects last diabetes type 2 and treatments. Insulin aspart is one type of insulinthat begins to work very quickly and its effects that last for approximately3 to 5 hours diabetes type 2 and treatments. Insulin aspart is usually used in combination with another longer-actinginsulin diabetes type 2 and treatments.
• Insulin aspart may also be used for purposes other than those listedin this medication guide diabetes type 2 and treatments.


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 type 2 and treatments.
• Before using insulin aspart, tell your doctor if you have kidney or liverdisease diabetes type 2 and treatments. You may require a dosage adjustment or special monitoring during treatment diabetes type 2 and treatments.
• Insulin aspart is in the FDA pregnancy category C diabetes type 2 and treatments. This means that itis not known whether it will be harmful to an unborn baby diabetes type 2 and treatments. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment diabetes type 2 and treatments.
• It is not known whether insulin aspart passes into breast milk diabetes type 2 and treatments. Do notuse this medication without first talking to your doctor if you are breast-feedinga baby diabetes type 2 and treatments.


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


What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin diabetes type 2 and treatments. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation diabetes type 2 and treatments.


What happens if I overdose?
• Seek emergency medical attention diabetes type 2 and treatments.
• 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 type 2 and treatments.


What should I avoid while using insulin aspart?
• Do not use alcohol without first talking to your doctor diabetes type 2 and treatments. It lowers bloodsugar, and you may experience dangerously low blood sugar levels diabetes type 2 and treatments.
• Follow any diet and exercise plan that you have developed with your doctoror nurse diabetes type 2 and treatments. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels diabetes type 2 and treatments.


What are the possible side effects of insulin aspart?
• Rarely, people have allergic reactions to insulin diabetes type 2 and treatments. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof your throat; swelling of your lips, tongue, or face; or hives) diabetes type 2 and treatments.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low diabetes type 2 and treatments. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions diabetes type 2 and treatments. Also, be sure your family and close friends know how to help you in an emergency diabetes type 2 and treatments.
• 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 type 2 and treatments.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking,headache, cold sweats, pale, cool skin, anxiety, and difficulty concentrating diabetes type 2 and treatments.
• Keep sugary candy; fruit juice; or glucose tablets on hand to treat episodesof low blood sugar diabetes type 2 and treatments.
• 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 type 2 and treatments.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination diabetes type 2 and treatments.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high diabetes type 2 and treatments.
• Side effects may also occur at the site of injection diabetes type 2 and treatments. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain diabetes type 2 and treatments.
• Side effects other than those listed here may also occur diabetes type 2 and treatments. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome diabetes type 2 and treatments.


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels diabetes type 2 and treatments. 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 type 2 and treatments.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read diabetes type 2 and treatments.


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