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


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


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


How should I use insulin aspart?
• Use insulin aspart exactly as directed by your doctor diabetics and sugar. If you do notunderstand these instructions, ask your doctor, nurse, or pharmacist to explainthem to you diabetics and sugar.
• Insulin aspart differs from regular human insulin by how quickly it beginsto work and the amount of time it continues to be effective diabetics and sugar. Because insulinaspart begins to work soon after it is injected, the injection of insulin aspartshould immediately be followed by a meal diabetics and sugar. Because of the short amount of timethat insulin aspart continues to be effective, a longer-acting insulin may alsobe required diabetics and sugar.
• Insulin aspart is usually used immediately before a meal (a meal shouldbe started within 5 to 10 minutes after injecting the medication) diabetics and sugar. Follow yourdoctor's instructions diabetics and sugar.
• Rotate injection sites as directed by your doctor diabetics and sugar. Usually, you shouldnot inject within 1 inch of the same site within 1 month diabetics and sugar.
• Never reuse a needle or syringe diabetics and sugar. The syringes used must not contain anyother medicinal product or residue diabetics and sugar. Dispose of all needles and syringes in anappropriate, puncture-resistant disposal container diabetics and sugar.
• Do not change the insulin strength (e.g., U-100) or insulin type (e.g.,aspart) unless your doctor recommends a change for you diabetics and sugar.
• Do not change the brand of insulin aspart or syringe that you are usingwithout first talking to your doctor or pharmacist diabetics and sugar. Some brands of insulin andsyringes are interchangeable, while others are not diabetics and sugar. Your doctor and/or pharmacistknow which brands can be substituted for one another diabetics and sugar.
• Follow any diet and exercise plan that you have developed with your doctoror nurse diabetics and sugar. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels diabetics and sugar.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever diabetics and sugar. These illnesses may change your insulin requirements diabetics and sugar.
• 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 diabetics and sugar.
• To adequately control diabetes, proper foot care, eye care, dental care,and overall proper health care are necessary diabetics and sugar. Visit your doctor, dentist, eyedoctor, and other heath care practitioners as recommended by your doctor diabetics and sugar.
• Do not use any insulin that is discolored, looks thick, has particlesin it, or looks different from your previous bottles or cartridges of insulinaspart diabetics and sugar.
• Store unopened bottles and cartridges of insulin aspart in the refrigeratorbetween 36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius) diabetics and sugar. Do not storeinsulin aspart in the freezer and do not allow it to freeze diabetics and sugar. Do not use insulinaspart if it has been frozen diabetics and sugar. Throw away any expired insulin aspart diabetics and sugar.
• 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 diabetics and sugar.


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


What happens if I overdose?
• Seek emergency medical attention diabetics and sugar.
• 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 diabetics and sugar.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels diabetics and sugar. 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 diabetics and sugar.


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


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