How to use FlexTouch Insulin Pen for injecting Novorapid (Novolog) and Degludec (Tresiba) Insulins
Insulin Aspart-Insulin Degludec
What Is Insulin aspart-insulin degludec?
Insulin works by lowering levels of glucose (sugar) in the blood. Insulin aspart is a short-acting form of insulin. Insulin degludec is a long-acting insulin.
Insulin aspart and insulin degludec is a combination medicine used to treat diabetes in adults. This medicine may be used for type 1 (insulin-dependent) or type 2 (noninsulin-dependent) diabetes.
Insulin aspart and insulin degludec may also be used for purposes not listed in this medication guide.
You should not use this medicine if you are having an episode of hypoglycemia (low blood sugar).
Never share an injection pen with another person. Sharing injection pens can allow diseases such as hepatitis or HIV to pass from one person to another.
You should not use this medicine if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar).
To make sure this medicine is safe for you, tell your doctor if you have:
- liver or kidney disease;
- low levels of potassium in your blood;
- if you take any oral (taken by mouth) diabetes medicine; or
- if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether this medicine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Your dose needs may be different while you are nursing.
Insulin aspart and insulin degludec is not approved for use by anyone younger than 18 years old.
Insulin aspart-insulin degludec Side Effects
Get emergency medical help if you have signs of an allergic reaction: hives, itching, skin rash; wheezing, tiredness, trouble breathing; feeling like you might pass out; nausea, diarrhea; swelling of your face, lips, tongue, or throat.
Call your doctor if you have:
- shortness of breath (even with mild exertion), swelling in your hands or feet, rapid weight gain;
- itching, swelling, redness, thickening, or other changes in the skin where you injected the medicine; or
- low potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, extreme thirst, increased urination, numbness or tingling, muscle weakness or limp feeling.
Common side effects may include:
- low blood sugar;
- swelling, weight gain;
- rash, itching; or
- skin changes where injections were given.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Insulin aspart-insulin degludec Interactions
Do not inject this medicine into a vein or muscle.
Avoid driving or operating machinery until you know how this medicine will affect you.
Avoid drinking alcohol. It can lower your blood sugar while using this medicine.
Many other medicines can increase or decrease the effects of insulin on lowering your blood sugar. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Insulin aspart-insulin degludec Dosage
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Insulin is injected under the skin. You may be shown how to use injections at home. Do not self-inject this medicine if you do not understand how to give the injection and properly dispose of used needles and syringes.
Insulin aspart and insulin degludec is usually given once or twice per day, with any main meal. You may need to use a separate fast-acting insulin at your other meals. Follow your doctor's dosing instructions very carefully. Avoid medication errors by always checking the medicine label before injecting your insulin.
Your care provider will show you the best places on your body to inject insulin aspart and insulin degludec. Use a different place each time you give an injection. Do not inject into the same place two times in a row.
Use only the prefilled injection pen this medicine comes in. Attach a new needle before each use. Do not transfer to a syringe or infusion pump. Do not mix or dilute this medicine with any other insulin product. Do not use if the medicine has changed colors or has particles in it. Call your pharmacist for new medicine.
Never share an injection pen with another person. Sharing injection pens or cartridges can allow disease such as hepatitis or HIV to pass from one person to another.
Follow any state or local laws about throwing away used needles and syringes. Use a puncture-proof "sharps" disposal container (ask your pharmacist where to get one and how to throw it away). Keep this container out of the reach of children and pets.
Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office.
Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of sugar with you in case you have low blood sugar. Sugar sources include fruit juice, hard candy, crackers, raisins, and non-diet soda. Be sure your family and close friends know how to help you in an emergency.
If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it.
Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss.
Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals. These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor's advice.
This medicine 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.
Store unused injection pens in the refrigerator, but not near the cooling element. Do not freeze or expose to high heat. Throw away the medicine if it has become frozen.
Storing after your first use: Keep "in-use" injection pens at room temperature away from heat and light, and use within 28 days. Do not refrigerate.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An insulin overdose can cause life-threatening hypoglycemia.
Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, seizure (convulsions), or coma.
Skip the missed dose and use the medicine at your next main meal on the same day. Then continue your regular dosing schedule. Do not use extra insulin to make up the missed dose.
It is important to keep insulin on hand at all times. Get your prescription refilled before you run out of medicine completely.
Video: How to use Flex touch® ( Ryzodeg® & Tresiba® )
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