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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention list of foods a diabetic can eat.
• 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 list of foods a diabetic can eat.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels list of foods a diabetic can eat. 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 list of foods a diabetic can eat.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read list of foods a diabetic can eat.


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