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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention normal fasting insulin level.
• 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 normal fasting insulin level.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels normal fasting insulin level. 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 normal fasting insulin level.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read normal fasting insulin level.


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