Insulin Lispro+insulin Lispro Protamine

Do not stop taking Insulin Lispro+insulin Lispro Protamine without consulting your doctor on your own as it may cause an increase in blood glucose levels. Continue taking Insulin Lispro+insulin Lispro Protamine for as long as your doctor has prescribed it to you. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Insulin Lispro+insulin Lispro Protamine.

You are recommended to avoid white bread, maida, poori, naan, noodles, biryani, fried rice, corn flakes, cheese, ice creams, milkshakes, beef, pork, sugarcane juice, soft drinks, sweetened health drinks and beverages. Also, avoid mango, seetaphal, jack fruit, fruit salads with ice cream, and fruit-based desserts.

Taking injection at the same site may cause local irritation, itching and lump formation. Therefore, it is best to avoid taking injections at the same site or maintain a gap of at least one day.

Maintain a diet that includes chapatis, puffed rice with vegetables, multigrain bread, plain cooked dal, roasted grams soups, sprouts, cooked vegetables with less oil, steamed vegetables, orange, jamun, guava, watermelon, apple, papaya, curd, cow’s milk, thin buttermilk, fish (baked, grilled, or steamed), cashew nuts, peanuts, and walnuts (handful). Avoid alcohol consumption and quit smoking. Exercise regularly and brisk walk daily for 30 minutes. Also, limit intake of sugar.

The risk factors for developing low blood sugar levels include not taking adequate meals or skipping meals, excessive insulin use, too much alcohol intake, fever and too much exercise. Some medications, like other diabetes medicine glimepiride, medicines used for fever and pain (salicylates), ramipril, etc., can result in such episodes when used with insulin. Inform your doctor about these episodes as you may need dose adjustment.

Before injecting, wash your hands. Select the injection site. Clean the skin as advised. Remove outer needle cap. Spread the skin or pinch up a large area to stabilize the skin. Insert the needle as instructed. Press the knob. Remove the needle out and apply gentle pressure over the injection site for several seconds. Do not rub the area. Dispose of the needle safely by unscrewing it using the outer needle cap. Injection sites should be used alternately so that the same site is not used more than approximately once a month.

Rotate the insulin device in the palms of your hands ten times and invert it 180° ten times immediately before use to resuspend the insulin until it appears uniformly milky or cloudy. If not, repeat the previous steps until contents are mixed. Avoid shaking vigorously as it may cause frothing which may interfere with the correct measurement of the dose. The cartridge/ device should be examined frequently and not be used if solid white particles stick to the bottom or wall of the cartridge, giving a frosted look or if clumps of material are present.

Yes, you must prime your pen. If you do not prime, you may receive too little or too much insulin. For priming, turn the dose knob to 2 units. Hold the pen with the needle pointing up. To collect air bubbles at the top, gently tap the cartridge holder. Continue holding your pen with the needle pointing up. Push the dose knob in until it stops and '0' appears in the dose window. Hold the dose knob in and slowly count to 5. Insulin should be visible at the tip of the needle.

To make it easier to inject, push the dose knob of the pen more slowly. It is possible that your needle is blocked. Replace the needle with a new one and prime the pen.

The side effects of Insulin Lispro+insulin Lispro Protamine include hypoglycaemia (low blood sugar), injection site reactions, rash and itching.

If you are experiencing any side effects, please inform your doctor.

Medications with hyperglycemic activity (drugs that increase glucose levels) such as isoniazid, corticosteroids, certain lipid-lowering drugs (e.g., niacin), oral contraceptives, estrogens, phenothiazines, and thyroid replacement therapy may increase the insulin requirement.

Insulin requirement may be decreased by drugs that increase insulin sensitivity or have hypoglycemic (blood sugar lowering) activity, such as oral antidiabetic agents, sulfa antibiotics, salicylates, angiotensin-converting-enzyme inhibitors, certain antidepressants (monoamine oxidase inhibitors), beta-adrenergic blockers, angiotensin II receptor blocking agents, inhibitors of pancreatic function (e.g., octreotide), and alcohol. In some patients, the symptoms of hypoglycemia (low blood sugar) may be masked by beta-adrenergic blockers.

Insulin Lispro+insulin Lispro Protamine should be used with caution during pregnancy and lactation (breastfeeding). Follow your doctor’s instructions carefully.