Starting dose: When initiating Levemir ®, start insulin-naive patients with type 2 diabetes on 10 units once-daily a dosage or to units/kg daily dosage with the evening meal or at bedtime and titrate accordingly. 2. Low injection-force push button. A built-in spring mechanism requires low force to inject all doses. When your dose is delivered, you should hear or feel a click a. Accurate dosing. Turn the dose selector to select the number of units you need to inject, from 1 to 80 units.
You may have concerns about adding an injectable medicine to your daily routine. See Instructions For Use ». If you do not, you may not have received your full dose and you should check your blood sugar more often because you may need more insulin. You may or may not hear an audible click at end of dose. See another option. Sign up to get started.
You givve give other people a serious infection, or get a serious infection from them. Look up your cost at MyLevemirCost. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www. If you need assistance with prescription costs, levemkr may be available. Talk to your health care provider about your diabetes management plan, including diet and exercise.
Low injection-force push button. A built-in spring how to increase fps in warcraft 3 requires low force to inject all doses. When your dose is delivered, you should hear or feel a click a Accurate dosing.
The 32G Tip needle is the thinnest needle made by Novo Nordisk, b a hod in diabetes care for more than 90 years More insulin innection a vial. Learn about another long-acting insulin. Get details on another long-acting insulin from Novo Nordisk. Storage before use.
Storage after use. Talk to your health care provider about how to manage low blood sugar. Read the Instructions for Use and take exactly as directed. Know the type and strength of your insulin. Do not change your insulin type unless your health care provider tells you to. Change rotate your injection sites within the area you choose with each injection how to make a newspaper boat reduce your risk of getting lipodystrophy pits in skin or thickened skin and localized cutaneous amyloidosis skin with lumps at the injection tl.
Do not use the exact same spot for each injection. Do not inject where the skin has pits, is thickened, or has lumps. Do not inject where the skin is tender, bruised, scaly or hard, or into scars or damaged skin. Levejir your blood sugar levels.
Ask your health care provider what your blood sugar levels should ggive and when you should check them. Do not reuse or share your needles or syringes with other people. Do not drive or operate heavy machinery, until you know how it affects you. Do not drink alcohol or use medicines that contain alcohol.
Serious side effects can lead to tive, including: Low blood sugar. Some signs and symptoms include: anxiety, irritability, mood changes, dizziness, sweating, confusion, and headache. Your insulin dose may need to change because of: change in level of physical activity, weight gain or loss, increased stress, illness, or change in diet. Other common side effects may include: reactions at the injection site, itching, rash, serious allergic reactions whole body reactionsskin how to copy video games or pits at the injection site lipodystrophyweight gain, swelling now your hands and feet and if taken with thiazolidinediones Injectioj possible heart failure.
Get emergency medical help if you have: trouble breathing, shortness of breath, fast heartbeat, swelling of your face, tongue, or throat, sweating, extreme drowsiness, dizziness, or confusion.
What is Levemir?
May 12, · Your doctor may want you to also use a short-acting insulin. Always inject your insulins separately. Levemir must not be given with an insulin pump, or mixed with other insulins. Do not inject into a vein or a muscle. If you use an injection pen, use only the injection pen that comes with Levemir. Attach a new needle before each loveescortus.comted Reading Time: 6 mins. Mar 24, · Visually inspect for particulate matter and discoloration. Only use LEVEMIR if the solution appears clear and colorless. • Inject LEVEMIR subcutaneously into the thigh, upper arm, or abdomen. • Rotate injection sites within the same region from one injection to the next to reduce the risk of lipodystrophy and localized cutaneous loveescortus.comted Reading Time: 2 mins. Once daily administration should be given with the evening meal or at bedtime (). • Rotate injection sites within an injection area (abdomen, thigh, or deltoid) to reduce the risk of File Size: 2MB.
Dose adjustments: Can be made every third day based on an average of 3 consecutive FPG values. Another long-acting insulin from Novo Nordisk. No push-button extension. Patients may hear or feel a click when the dose is delivered c.
Also available in a mL vial. For patients who use conventional insulin injection techniques. Reactions have included anaphylaxis. Warnings and Precautions. Sharing poses a risk for transmission of blood-borne pathogens. Repeated insulin injections into areas of lipodystrophy or localized cutaneous amyloidosis have been reported to result in hyperglycemia; and a sudden change in the injection site to an unaffected area has been reported to result in hypoglycemia.
Advise patients who have repeatedly injected into areas of lipodystrophy or localized cutaneous amyloidosis to change the injection site to unaffected areas and closely monitor for hypoglycemia.
Adjustments in concomitant anti-diabetic treatment may be needed. Increase monitoring with changes to: insulin dose, co-administered glucose lowering medications, meal pattern, physical activity; and in patients with hypoglycemia unawareness or renal or hepatic impairment.
Limitations of Use. Important Safety Information. Increase monitoring with changes to: insulin dose, co-administered glucose lowering medications, meal pattern, physical activity; and in patients with hypoglycemia unawareness or renal or hepatic impairment Hypoglycemia Due to Medication Errors: Accidental mix-ups between basal insulin products and other insulins, particularly rapid-acting insulins, have been reported.
Untreated hypokalemia may cause respiratory paralysis, ventricular arrhythmia, and death. Monitor potassium levels in patients at risk for hypokalemia if indicated e. Fluid retention may lead to or exacerbate heart failure. If heart failure develops, it should be managed according to current standards of care, and discontinuation or dose reduction of the PPAR-gamma agonist must be considered. Adverse Reactions. Drug Interactions.
Drugs that increase hypoglycemia risk or increase or decrease blood glucose lowering effect: adjustment of dosage may be needed; closely monitor blood glucose. Drugs that blunt hypoglycemia signs and symptoms e. Use in Specific Populations. Poorly controlled diabetes increases the fetal risk for major birth defects, stillbirth, and macrosomia-related morbidity. Sharing poses a risk for transmission of blood-borne pathogens Hyperglycemia or Hypoglycemia with Changes in Insulin Regimen: Changes in an insulin regimen e.
Increase monitoring with changes to: insulin dose, co-administered glucose lowering medications, meal pattern, physical activity; and in patients with hypoglycemia unawareness or renal or hepatic impairment Accidental mix-ups between basal insulin products and other insulins, particularly rapid-acting insulins, have been reported. Patients should be observed for signs and symptoms of heart failure.
If heart failure occurs, dosage reduction or discontinuation of the TZD must be considered. Drugs that may increase the risk of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog e.
References: Tresiba [package insert]. Levemir [package insert]. Diabetes Obes Metab. FlexTouch: a prefilled insulin pen with a novel injection mechanism with consistent high accuracy at low- 1 U , medium- 40 U , and high- 80 U dose settings. J Diabetes Sci Technol. An assessment of dose accuracy and injection force of a novel prefilled insulin pen: comparison with a widely used prefilled insulin pen.
Expert Opin Drug Deliv.