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Early warning symptoms of hypoglycemia may be different or less pronounced under certain conditions, such as long duration of diabetes, diabetic nerve disease, use of medications such as beta-blockers, changing insulin preparations, or intensified control 3 or more insulin injections per day of diabetes.
A few patients who have experienced hypoglycemic reactions after transfer from animal-source insulin to human insulin have reported that the early warning symptoms of hypoglycemia were less pronounced or different from those experienced with their previous insulin.
Without recognition of early warning symptoms, you may not be able to take steps to avoid more serious hypoglycemia. Be alert for all of the various types of symptoms that may indicate hypoglycemia.
Patients who experience hypoglycemia without early warning symptoms should monitor their blood glucose frequently, especially prior to activities such as driving. If the blood glucose is below your normal fasting glucose, you should consider eating or drinking sugar-containing foods to treat your hypoglycemia.
Mild to moderate hypoglycemia may be treated by eating foods or drinks that contain sugar. Patients should always carry a quick source of sugar, such as hard candy or glucose tablets. More severe hypoglycemia may require the assistance of another person.
Patients who are unable to take sugar orally or who are unconscious require an injection of glucagon or should be treated with intravenous administration of glucose at a medical facility. You should learn to recognize your own symptoms of hypoglycemia. If you are uncertain about these symptoms, you should monitor your blood glucose frequently to help you learn to recognize the symptoms that you experience with hypoglycemia.
Hyperglycemia can be brought about by any of the following: Omitting your insulin or taking less than your doctor has prescribed. Eating significantly more than your meal plan suggests.
Developing a fever, infection, or other significant stressful situation. In patients with type 1 or insulin-dependent diabetes, prolonged hyperglycemia can result in DKA a life-threatening emergency.
The first symptoms of DKA usually come on gradually, over a period of hours or days, and include a drowsy feeling, flushed face, thirst, loss of appetite, and fruity odor on the breath. With DKA, blood and urine tests show large amounts of glucose and ketones.
Heavy breathing and a rapid pulse are more severe symptoms. If uncorrected, prolonged hyperglycemia or DKA can lead to nausea, vomiting, stomach pain, dehydration, loss of consciousness, or death. Therefore, it is important that you obtain medical assistance immediately.
Lipodystrophy Rarely, administration of insulin subcutaneously can result in lipoatrophy seen as an apparent depression of the skin or lipohypertrophy seen as a raised area of the skin.
If you notice either of these conditions, talk to your doctor. A change in your injection technique may help alleviate the problem. Allergy Local Allergy — Patients occasionally experience redness, swelling, and itching at the site of injection.
This condition, called local allergy, usually clears up in a few days to a few weeks. In some instances, this condition may be related to factors other than insulin, such as irritants in the skin cleansing agent or poor injection technique.
If you have local reactions, talk to your doctor. Systemic Allergy — Less common, but potentially more serious, is generalized allergy to insulin, which may cause rash over the whole body, shortness of breath, wheezing, reduction in blood pressure, fast pulse, or sweating.
Severe cases of generalized allergy may be life threatening. If you think you are having a generalized allergic reaction to insulin, call your doctor immediately. Additional information about diabetes and Humulin can be obtained by calling The Lilly Answers Center at LillyRx or by visiting www.
Patient Information revised March 25, Marketed by: Correct Syringe Type Doses of insulin are measured in units.
With Humulin R, it is important to use a syringe that is marked for U insulin preparations.
Failure to use the proper syringe can lead to a mistake in dosage, causing serious problems for you, such as a blood glucose level that is too low or too high. Syringe Use To help avoid contamination and possible infection, follow these instructions exactly.
Disposable syringes and needles should be used only once and then discarded by placing the used needle in a puncture-resistant disposable container.HUMALOG Mix50/50 is indicated to improve glycemic control in patients with diabetes mellitus. Limitations of Use: The proportions of rapid-acting and intermediate-acting insulins in HUMALOG Mix50/50 are fixed and do not allow for basal versus prandial dose adjustments.
Eligibility and other restrictions for the Novo Nordisk Savings Card. Millions of people today have diabetes or take care of someone with the disease. It is possible to lead a full and active life with diabetes when the disease is properly managed.
A total of million people in the United States have diabetes, equal to percent of the total population as of An estimated additional 86 million adults age 20 and older have “pre-diabetes,” a condition that can still be halted, according to the Centers for Disease Control and. Diabetes is a chronic disease that afflicts million Americans.
Insulin, one of the primary treatments for diabetes, has been around since the s. Finding Justice. Achieving Results. Founded in by Cyrus Mehri and Steven Skalet, Mehri & Skalet, PLLC is one of the nation’s leading class action and complex litigation firms.