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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention iv insulin infusion protocols.
• 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 iv insulin infusion protocols.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels iv insulin infusion protocols. 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 iv insulin infusion protocols.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read iv insulin infusion protocols.


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