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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention time zones insulin adjustment.
• 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 time zones insulin adjustment.


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


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


What other drugs will affect insulin aspart?
• Many drugs can interact with insulin or affect blood sugar levels time zones insulin adjustment. 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 time zones insulin adjustment.


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


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