Your required dose of insulin depends on how much natural insulin your pancreas is producing and how well your body is able to use the insulin. Your doctor or diabetes educator will determine the appropriate dose for you according to various lifestyle factors and the blood glucose values obtained while monitoring your blood glucose. Your dose of insulin should be injected subcutaneously under the skin or used in an insulin pump exactly as instructed by your doctor or diabetes educator.
The dose of insulin is measured in international units IU. Each mL of insulin contains IU. When insulin glulisine is injected under the skin, it should be given within 15 minutes before or within 20 minutes after starting a meal. Longer-acting insulins are often used along with insulin glulisine to cover the periods of time between doses of insulin glulisine.
There are many variations of insulin dosing. To reduce irritation at the place of injection, allow insulin glulisine to reach room temperature before injecting. Insulin glulisine should be clear and colourless. Do not use the insulin if you notice anything unusual in the appearance of the solution, such as cloudiness, discoloration, or clumping. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications.
If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor. It is important that this medication be used exactly as prescribed by your doctor. The timing of insulin with respect to your meals is crucial to keeping blood glucose under control. Keep unopened insulin glulisine in the refrigerator until needed and use it before the expiry date on the label.
Never allow insulin to freeze. Open vials can be refrigerated for up to 28 days. Insulin must not be exposed to extremely hot temperatures or to sunlight. Keep insulin out of the reach of children.
Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Do not use this medication if you are allergic to insulin glulisine or any ingredients of the medication. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome.
Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention. Stop taking the medication and seek immediate medical attention if any of the following occur:.
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Allergic reactions: If you notice signs of a serious allergic reaction swelling of the face or throat, difficulty breathing, wheezing, fast heart rate, sweating, low blood pressure, or itchy skin rash , stop using the medication and seek immediate medical attention. Appearance of insulin: The contents of the vial of insulin glulisine should be clear and colourless. Do not use this medication if your notice anything unusual about its appearance, such as cloudiness, discoloration, or clumping.
Blood glucose monitoring: It is important for anyone using insulin to monitor their blood glucose levels regularly, as recommended by their doctor or diabetes educator. It is especially important to test blood glucose more often when your insulin dose or schedule changes, or when you are ill or under stress.
If blood tests consistently show high or low blood glucose levels, contact your doctor or diabetes educator. Changes in insulin requirements: Many things can affect blood glucose levels and insulin requirements. These include:. It is important that your doctor know your current health situation and any changes that may affect the amount of insulin you need.
Blood glucose should be monitored regularly, as recommended by your doctor or diabetes educator. Diabetes identification: It is important to either wear a bracelet or necklace or carry a card indicating you have diabetes and are taking insulin. Family and friends: Educate your family and friends about the signs and symptoms of hypoglycemia low blood glucose. Keep a glucagon kit available and instruct them on its proper use in case you experience severe low blood glucose and you lose consciousness.
Insulin pumps: When used in an insulin pump, insulin glulisine should not be mixed with any other insulins or solutions.
Low blood glucose hypoglycemia : Hypoglycemia may occur if too much insulin is used, if meals are missed, or if you exercise more than usual. Symptoms of mild to moderate hypoglycemia may occur suddenly and can include cold sweat, nervousness or shakiness, fast heartbeat, headache, hunger, confusion, lightheadedness, weakness, anxiety, irritability, trouble concentrating, fatigue, and numbness or tingling tongue, lips, or fingers.
Mild to moderate hypoglycemia may be treated by eating foods or drinks that contain sugar. People taking insulin should always carry a quick source of sugar, such as hard candies, glucose tablets, juice, or regular soft drinks not diet soft drinks. Signs of severe hypoglycemia can include disorientation, loss of consciousness, and seizures. People who are unable to take sugar by mouth or who are unconscious may require an injection of glucagon or treatment with intravenous into the vein glucose.
Low blood sugar can impair your ability to drive or operate machinery. Use Apidra Insulin Glulisine exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Insulin glulisine is injected under the skin, or given as an infusion into a vein.
A healthcare provider will give your first dose and may teach you how to properly use the medication by yourself. Read and carefully follow any Instructions for Use provided with your medicine and injection pen or insulin pump. Ask your doctor or pharmacist if you don't understand all instructions.
Prepare an injection only when you are ready to give it. Do not use if the medicine looks cloudy, has changed colors, or has particles in it. Call your pharmacist for new medicine. Your healthcare provider will show you where on your body to inject insulin glulisine. Use a different place each time you give an injection. Do not inject into the same place two times in a row.
After using insulin glulisine, eat a meal within 15 minutes. If you did not use an injection before the meal, use the medicine within 20 minutes after you start eating. If you use this medicine with an IV or insulin pump , do not mix or dilute insulin glulisine with any other insulin. If you use an injection pen, use only the pen that comes with insulin glulisine. Attach a new needle before each use. Do not transfer the insulin from the pen into a syringe or infusion pump.
Never share an injection pen or syringe with another person, even if the needle has been changed. Sharing these devices can allow infections or disease to pass from one person to another. Use a needle and syringe only once and then place them in a puncture-proof "sharps" container. Follow state or local laws about how to dispose of this container.
Keep it out of the reach of children and pets. You may have low blood sugar hypoglycemia and feel very hungry, dizzy, irritable, confused, anxious, or shaky.
To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar fruit juice, hard candy, crackers, raisins, or non-diet soda. Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia.
Be sure your family or close friends know how to give you this injection in an emergency. Also watch for signs of high blood sugar hyperglycemia such as increased thirst or urination. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals.
Ask your doctor before changing your dose or medication schedule. Insulin glulisine is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care.
Follow your doctor's instructions very closely. Keep this medicine in its original container protected from heat and light. Do not draw insulin from a vial into a syringe until you are ready to give an injection. Do not freeze insulin or store it near the cooling element in a refrigerator. Throw away any insulin that has been frozen. Do not use the medicine if it looks cloudy, has changed colors, or has any particles in it. Since insulin glulisine is used before meals, you may not be on a timed dosing schedule.
Whenever you use insulin glulisine, be sure to eat a meal within 15 minutes.
0コメント