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