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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention gestational diabetes and pregnancy.
• 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 gestational diabetes and pregnancy.


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


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


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


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


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