Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to.
Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin.
Check the carton and the bottle label for the name and letter designation of the insulin you receive to make sure it is the same as that your doctor prescribed. Do not change the brand or dose of your insulin unless your doctor tells you to.
Always observe the bottle of your insulin before every use. Do not use the medicine if it appears cloudy, slightly colored, or if it contains solid particles.
You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
Use only syringes that are specially made for insulin. It is best to use always the same brand and same type of syringe. Some types of insulin must be used with a certain type of syringe. Ask your pharmacist if you are not sure of which one to use.
Use a new needle and syringe each time you inject your medicine.
If you are using a reusable syringe, you must sterilize it before each dose. Follow the sterilizing directions that come with your syringes. Never share your needles and syringes with any one.
Carefully follow your doctor's instructions about any special diet.
Your doctor may suggest that you follow an exercise program. You may also be taught to check your own blood sugar levels at home. Diet, exercise, medicine, and checking your blood sugar are all important to control your diabetes.
Store this medicine in the refrigerator. Do not freeze. If you cannot refrigerate keep it in a cool place away from heat or sunlight.
Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine, containers, and other supplies. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using steroid medicine such as dexamethasone, prednisolone, prednisone, or Medrol®. Tell your doctor if you are using diabetes medicine that you take by mouth such as glyburide, metformin, Actos®, Glucophage®, or Glucotrol®.
Make sure your doctor knows if you are using birth control pills, salicylates (such as aspirin). Tell your doctor if you are using sulfa drugs (such as trimethoprim/sulfamethoxazole, Bactrim®, Cotrim®, or Septra®). Tell your doctor if you are using medicine for thyroid gland disease.
Make sure your doctor knows if you are also using beta blocker such as atenolol (Tenormin®), metoprolol (Lopressor®), or propranolol (Inderal®). Tell your doctor if you are also using medicine for depression such as amitriptyline, fluoxetine, nortriptyline, Elavil®, Pamelor®, Prozac®, or Vivactil®.
There are many other medicines that interact with this medicine. Make sure your doctor knows all other medicines you are using.
Do not drink alcohol while you are using this medicine.
Make sure your doctor knows if you are pregnant or if you are planning to become pregnant. Tell your doctor if you are breast feeding.
Make sure your doctor knows if you have kidney disease, liver disease, or thyroid disease. Tell your doctor about all other medical problems you have before using this medicine.
Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.
Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.
If your blood sugar gets too low, you may feel weak, drowsy, confused, anxious, or very hungry. You may also sweat, shake, or have blurred vision, a fast heartbeat, or a headache that will not go away. If you have symptoms of low blood sugar (hypoglycemia), check your blood sugar. If your blood sugar is 70 mg/dL (milligrams per deciliter) or below, do one of the following: Drink 4 ounces (one-half cup) of fruit juice, or eat 5 to 6 pieces of hard candy, or take 2 to 3 glucose tablets. Re-check your blood sugar 15 minutes later. If your blood sugar is above 70 mg/dL, eat a snack or a meal. If your blood sugar is still below 70 mg/dL, drink one-half cup juice, or eat 5 to 6 pieces of candy, or take 2 to 3 glucose tablets. Carry candy or some type of sugar with you at all times, especially if you are away from home. You can take this if you feel that your blood sugar is too low, even if you do not have a blood glucose meter. Always carefully follow your doctor's instructions about how to treat your low blood sugar. Learn what to do if your blood sugar gets too low. Teach friends, co-workers, and family members what they can do to help if you have low blood sugar.
Always keep an extra supply of insulin as well as a spare syringe and needle on hand. Always wear diabetic identification so that appropriate treatment can be given if complications occur away from home.
Your dose of insulin may change slightly with changes in your diet or physical activity. Your dose needs may also change while you are ill, pregnant, traveling, taking a new medicine, or exercising more than usual. Follow your doctor's instructions about making any changes in your insulin dose.