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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention juvenile diabetes foundation.
• 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 juvenile diabetes foundation.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels juvenile diabetes foundation. 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 juvenile diabetes foundation.


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


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