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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention expiration and multidose and insulin.
• 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 expiration and multidose and insulin.


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


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


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


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

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