neuropathic diabetics and diagnostic footwear devices

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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention neuropathic diabetics and diagnostic footwear devices.
• 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 neuropathic diabetics and diagnostic footwear devices.

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

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

What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels neuropathic diabetics and diagnostic footwear devices. 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 neuropathic diabetics and diagnostic footwear devices.

Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read neuropathic diabetics and diagnostic footwear devices.

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