Manufacturer: Novo Nordisk India Pvt Ltd
Salt Composition : Insulin Aspart(100IU)
Insulin is crucial to allow entry of blood glucose into each cell of the body
Inside the cell, this glucose is used as fuel
In type 1 diabetes mellitus, the body fails to produce adequate insulin
This leads to glucose accumulating in the blood and cause high blood glucose
This medicine lowers blood sugars by stimulating glucose uptake by cells, tissue and muscles, especially by skeletal muscles and fat and by inhibiting glucose production by the liver.
Regular, soluble insulin naturally forms hexamers in solution that must dissociate for the insulin to be absorbed from its subcutaneous injection site. Thus the absorption of insulin aspart is much more rapid and the plasma insulin concentration returns much more quickly to the pre-injection level.
Low blood sugar (Hypoglycaemia)
Lightheadedness
Dizziness
Anxiety
Nervousness
Tiredness
Feeling hungry
Visual disturbances
Headache
Shaking
Sweating
Pale skin
Skin rashes
Pain, redness, swelling at injection site.
If you are allergic to insulin or any of the ingredients of this medicine
If you are suffering from hypoglycemia (low blood sugar level).
This medicine can be used during pregnancy if your doctor recommends
However, close monitoring of blood sugar levels is suggested as the dose requirements may change with each trimester of pregnancy.
It is advisable not to consume alcohol when you are taking this medicine as it interferes with the way insulin works
Consumption of alcohol may lead to an increased risk of both low blood glucose level and high blood glucose level
Avoid excessive use of alcohol while taking insulin.
You can use this while you are breastfeeding.
Insulin aspart is a rapid-acting, human insulin analog that is FDA approved to treat type-1 and type-2 diabetes mellitus to improve glycemic control in adults and children. Insulin aspart may also be used to treat diabetic ketoacidosis (DKA), though this is not an FDA-approved indication.
Drug-Drug Interactions: INSULIN ASPART may have an interaction with drugs that may increase the risk of antiarrhythmic (disopyramide), hemorrheologic agents (pentoxifylline), antidiabetic (pramlintide), bleeding disorder drugs (octreotide), antipsychotic (propoxyphene, phenothiazines), female sex hormones (progestogen, oestrogen), thyroid hormones (levothyroxine), anti-asthmatics (albuterol, epinephrine, terbutaline), an antidepressant (fluoxetine, lithium), lipid-lowering pills (reserpine, niacin, clonidine, fenofibrate, guanethidine), pain killers (aspirin), antibiotics (isoniazid), blood sugar enhancing pills (glucagon), male hormone testosterone analogue (danazol), antibiotic (pentamidine).
Drug-Food Interactions: INSULIN ASPART may interact with an ayurvedic, homoeopathy, Unani, herbal supplements or OTC items. Tell your doctor if you are using these products. Try to avoid intake of alcoholic beverages with INSULIN ASPART as it may increase or decrease your blood sugar level.
Drug-Disease Interactions: INSULIN ASPART should not be given to patients with kidney disease, liver disease, low blood sugar/glucose level (hypoglycaemia), and low potassium level (hypokalaemia).
Drug-Drug Interactions Checker List:
ASPIRIN
FUROSEMIDE
METOPROLOL
LEVOTHYROXINE SODIUM
Do not take this injection in vein or in muscles
Pull a skin, fold up to take this injection
Store between 2°C to 8°C in the refrigerator
Do not freeze it
Keep it out of the reach of children
Do not open the carton of vials to protect it from light
Any unused portion should not be stored and should be appropriately discarded.
Missed dose may lead to high blood sugar levels which can cause symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, fruity smell from breath, etc.
If you missed any dose of medicine take it as soon as you remember
If it's time for your next dose then skip the missed dose and continue with your regular dose schedule
Do not take a double dose of medicine to compensate the missed one as taking double dose can cause a drastic fall in blood glucose which can be dangerous.
Excess insulin will lead to low blood sugar levels, called hypoglycemia
Symptoms like dizziness, fainting, sweating and tremors may be seen
If you have the blood glucometer with you, test immediately and confirm
Whether or not you test your levels, it is important to take some glucose water/juice/eat sugar or chocolates immediately and then rush to your doctor.
You have recurrent low blood sugar levels
Be very careful about symptoms of low blood sugar like sweating, anxiety, fast heartbeat, headache, intense hunger, restlessness, dizziness, irritability. If you experience these, immediately have sugar (Do not consume artificial sweeteners). Eat something as soon as possible. Do not take insulin in such a scenario. If still the symptoms persists, seek emergency medical help
You have frequent fever and infections
You have diseases related to liver and kidney
You have thyroid disorders
You are switching to different insulin medicine brand
You have pain, itching and swelling at the injection site, you should continuously change the site of injection
Avoid doing heavy exercise
You are planning to change your diet preferences
You should always carry sugar candy with you
You are taking insulin but not taking adequate meals, your blood glucose can drop drastically.
Take this injection as per the technique suggested by your doctor or nurse
This injection is to be taken under the skin of the thigh or upper arm or abdomen
Do not take this injection in vein or in muscles
Pull a skin, fold up to take this injection
Wait for at least 6 sec before removing the needle from the injection site
Always rotate the site of injection, do not take concurrent injections at the same site.
Q: What food items I should avoid, as I'm a diabetic?
Avoid maida, white bread, noodles, corn flakes, poori, biryani, naan, fried rice, etc.
Avoid seetaphal, mango, jack fruit, fruit salads with ice cream, fruit-based desserts
Avoid cheese, milkshakes, ice creams
Try to avoid pork, beef, soft drinks, sugarcane juice, sweetened health drinks and beverages.
Q: Can I stop taking Novorapid 100iu Injection 10ml if I am feeling uncomfortable after taking this medicine?
A: No, you can not stop taking your insulin without speaking with a doctor. It may lead to high blood sugar levels and may worsen your disease condition and land you in complications. In case of side effects or discomfort, talk to your doctor. You may need dose adjustment.
Q: Why should I always change the site for taking this injection?
A: Taking injection at the same site may lead to a lump formation, local irritation and itching. Thus it is advisable not to take injections at the same site or maintain a gap of at least one day.
Q: What other lifestyle modifications I need to consider to manage diabetes?
Diet should include chapatis, multigrain bread, puffed rice with vegetables, sprouts, roasted grams, plain cooked daal, soups, steamed vegetables, cooked vegetables with less oil, Jamun, orange, guava, apple, watermelon, papaya, cow’s milk, curd, thin buttermilk, fish (grilled, baked or steamed), peanuts, cashew nuts and walnuts(handful).
Limit sugar intake
Brisk walk daily for 30 minutes
Exercise regularly
Monitor your blood glucose regularly
Take your anti-diabetic medication on time.
Q: I develop low blood sugar levels often, what could be the possible reasons?
Risk factors for developing low blood glucose levels include taking too much insulin, not taking adequate meals or missing meals, too much alcohol consumption, fever and too much exercise
Some medicines, when used with insulin can result in such episodes like other diabetes medicine glimepiride, medicines used for fever and pain (salicylates), ramipril, etc.
Report to your doctor about these episodes. You may need a dose of adjustment.
