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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention pictures of insulin therapy.
• 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 pictures of insulin therapy.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels pictures of insulin therapy. 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 pictures of insulin therapy.


Where can I get more information?
• Your pharmacist has additional information about insulin aspart writtenfor health professionals that you may read pictures of insulin therapy.


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