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