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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention portland insulin protocol.
• 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 portland insulin protocol.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels portland insulin protocol. 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 portland insulin protocol.


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


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