elevated liver enzymes and insulin levels

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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention elevated liver enzymes and insulin levels.
• 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 elevated liver enzymes and insulin levels.

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

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

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

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

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