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peripheral arterial disease in diabetics

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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention peripheral arterial disease in diabetics.
• 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 peripheral arterial disease in diabetics.

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

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

What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels peripheral arterial disease in diabetics. 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 peripheral arterial disease in diabetics.

Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read peripheral arterial disease in diabetics.

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