Insulin Detemir-Dose,Functions,Prevention, Side Sffects,Etc.

Insulin detemir for what?


Insulin Detemir is commonly used in diet program and exercise the right to control high blood sugar in diabetics. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and the problems of sexual function.The right diabetic control can also reduce the risk of heart attack or stroke.
Insulin detemir
Insulin detemir


Insulin Detemir is a man-made insulin that is similar to the original. This drug can replace the function of the insulin that is produced in the body. These medications Acts longer than the original, keeping the insulin, insulin levels remain low and stable. This medication works by helping the blood sugar (glucose) goes into the cell so that the body can use it as energy. Insulin Detemir insulin products can be used along with shorter-acting. This medication may also be used with other diabetes medicines, such as Metformin and Exenatide.


How do I use of insulin detemir?


Study the whole instruction of use from Your health experts as well as product packaging. Before using this medicine, check whether there is a particle or product changes color. Do not use if the things mentioned above occurs. Insulin Detemir must not contain particles or discoloration. Before injecting the dose, clean the injection site with an alcohol. Do not inoculate in the same area to reduce injury to the skin and avoid the development of a problem on the network under the skin (lipodystrophy). Insulin Detemir can be injected in the area of the abdomen, thighs, or arms over the back.Do not inject into a vein or a muscle because it can make blood sugar becomes very low (hypoglycemia). Do not rub the area injected. Do not inject in skin redness, swelling, or itching. Do not inject insulin cold because it will feel painful. The container used to store insulin can be stored at room temperature (see also section Storage). Do not shake the container storage.

The drug is injected under the skin to match the direction of your doctor, usually once or twice a day. Insulin Detemir is usually injected at dinner or before bedtime. If you use it twice a day, doctors inject appropriate referral, usually the first dose in the morning and the second dose at dinner, before bed, or 12 hours after a dose in the morning. This product should not be mixed with any other insulin. Do not use the Insulin Detemir in infusion pump. Do not change brands or types of insulin without direction from your doctor.

The dosage is based on medical condition and as well as the response of the body against treatment. Measure the dose with extreme caution because the slightest dose of change would probably have an impact on your blood sugar levels.

Take a look at blood sugar levels or urine You according to your doctor's referral. Make a note of this measurement results and notify your physician. It is very important to determine the dose of insulin that is right for you.

Use this medication regularly in order to obtain the best benefits. To help you remember, use at the same time each day.



How does insulin detemir storage?


This medication should be stored in the refrigerator without opening the lid of the bottle. Don't be frozen. Do not use the insulin detemir if it has been frozen. Insulin Detemir may be stored until the date stamped on the label company.

If there is no refrigerator (for example, when on vacation), keep insulin at room temperature and keep away from heat and direct light. The insulin bottle which is not cooled can be used within 42 days, more than it has to be discarded. Bottles that have been opened can be stored for 42 days at room temperature or in the refrigerator. Insulin Pen opened can be stored at room temperature up to 42 days, not refrigerated. Put away any Insulin Detemir are exposed to extreme hot or cold.

Other brands of this medication can have a different retention rules. Note the storage instructions on the packaging of your product, or ask Your pharmacist. Keep medicines out of the reach of children and pets. Do not flush medications into the toilet or down the drain unless instructed. Dispose of this product when the validity period had expired or when it is not needed anymore. To consult a pharmacist or local waste disposal company about how to safely dispose of your product.


Dose



The information provided is not a substitute for medical advice from. ALWAYS consult a doctor or pharmacist before starting treatment.


How insulin detemir dose for adults?


Adult dose for type 2 Diabetes

Initiation of Insulin Detemir therapy:

Insulin Detemir dose early is recommended in patients with type 1 diabetes, approximately one third of the total daily insulin requirements. Insulin rapid action or short,as well as Insulin before meals should be used to fulfill the needs of insulin every day.

The initial dose in patients with type 2 diabetes who are not enough just by using antidiabetik drugs, drink: 10 units (or 0.1-0.2 Units/kg) once a day at night or divided into two times a day.

Adult dose for type 1 Diabetes

Initiation of Insulin Detemir therapy:

Insulin Detemir dose early is recommended in patients with type 1 diabetes, approximately one third of the total daily insulin requirements. Insulin rapid action or short,as well as insulin before meals should be used to fulfill the needs of insulin every day.

The initial dose in patients with type 2 diabetes inadequately controlled with medication antidiabetik, taken: 10 units (or 0.1-0.2 Units/kg) administered once daily in the evening or divided into two times a day.


How insulin detemir dose for children?


Child dosage for type 1 Diabetes

For use in patients between the ages of 2-17 years of age with type 1 diabetes (should not be used in patients with type 2 diabetes):

Initiation of insulin detemir therapy:

Insulin Detemir dose early is recommended in patients with type 1 diabetes, approximately one third of the total daily insulin requirements. Insulin rapid action or short,as well as insulin before meals should be used to fulfill the needs of insulin every day.


In doses of insulin detemir are available? 

Injection, down skin: 100 units/ml

Side Effects
What side effects can be experienced due to insulin detemir?

Get medical help if you experience any signs of an allergy to insulin: itchy skin rashes all over the body, the breath goes, difficult breathing, increased heart rate, sweating, or feel like I will faint.

Contact your doctor if you experience serious side effects such as:

Itching, swelling, or redness in the area of the injection of Insulin Detemir
Swelling in the hands or feet
Low potassium (confusion, uneven heartbeat, extreme thirst, an increase in the intensity of urination, discomfort in the legs, muscle weakness or limp)
Side effects are not so serious include:

Thickening of the skin in the area of the injection of Insulin Detemir
Ride weight
Headache, back pain
Abdominal pain
Flu symptoms, such as nasal congestion, sneezing, sore throat
Not all people experience the following side effects. There may be some side effects that are not mentioned above. If you have concerns about specific side effects,consult with Your doctor or pharmacist.


Prevention & Warning


What should know before using insulin detemir?



Insulin detemir
Insulin detemir



Before using insulin detemir,

Contact your doctor and pharmacist if you are allergic to insulin (Humulin, Novolin,others), one of the ingredients of Insulin Detemir, or other drugs. Ask your pharmacist or check the Patient information section in the product label to find out the list of medicinal ingredients

Contact your doctor and pharmacist about all over prescription drugs/nonresep, vitamins, nutritional supplements, and herbal products you are using. Be sure to mention any of the following substances:

Enzyme (ACE) Inhibitors Angiotensin-Converting such as Benazepril (Lotensin), Captopril (Capoten), Enalapril (Vasotec), Fosinopril (Monopril), Lisinopril (Prinivil, Zestril),Moexipril (Univasc), Perindopril (Aceon), Quinapril (Accupril), Ramipril ( Altace) and Trandolapril (Mavik); Beta Blockers such as Atenolol (Tenormin), Labetalol (Normodyne), Metoprolol (Lopressor, Toprol XL), Nadolol (Corgard), Propranolol (Inderal); cholesterol-lowering drugs like Fenofibrate (Antara, Lofibra, Tricor, Triglide) and Gemfibrozil (Lopid); Clonidine (Catapres, Catapres-TTS, in Clorpres); Danazol; Disopiramid(Norpace CR Norpace,); Diuretics (' water pills '); Fluoxetine (Prozac, Sarafem, Symbyax in); hormone replacement therapy; Isoniazid (INH, Nydrazid); Lithium (Eskalith, Lithobid); medications for asthma and colds; medications for mental illness and nausea; Inhibitor of Monoamine Oxidase (MAO), Isocarboxazid (Marplan) including, Phenelzine (Nardil), Selegiline (Eldepryl), and Tranylcypromine (Parnate); Octreotide (Sandostatin); contraceptives are taken (birth control pills); the diabetes drug taken such as Pioglitazone (Actos, Actoplus Met in and others) and Rosiglitazone (Avandia, Avandamet and in others); Steroids are taken such as Dexamethasone (Decadron, Dexone), Methylprednisolone (Medrol), and Prednison (Deltasone); Pentamidin (Nebupent, Pentam); Reserpin; pain relievers such as Aspirin, salicylic Choline Magnesium Trisalicylate (Trilisate, TRICOSAL), Choline Salicylate (Arthropan), Diflunisal (Dolobid), Magnesium Salicylate, and Salsalat (Argesic, Disalcid, Salgesic); Somatropin (Serostim,Nutropin, and others); sulfa antibiotics; and thyroid medications. The possibility of the doctor need to change the doses of Your medications or monitor them carefully to prevent the incidence of side effects.
Tell the doctor if you have or ever have had nerve damage caused by diabetes, heart failure; or other health problems, including heart disease, kidney or liver.
Contact your doctor if you are pregnant, plan to become pregnant, or breastfeeding. If you become pregnant while using Insulin Detemir, call your doctor.

If you are having surgery, including dental surgery, tell the doctor
ER teeth that you use Insulin Detemir.

Alcohol can cause changes in blood sugar levels. Ask the doctor about the safe use of alcoholic beverages while you are using Insulin Detemir.
Ask the doctor when you are ill, experiencing unusual stress, or change the pattern of diet, exercise, or routines. This change will take effect on schedule as well as dosing the amount of insulin you need.
Ask the doctor how often you should check your blood sugar. You need to realize that hypoglycemia can affect your ability to perform tasks such as driving a.Ask the doctor to check your blood sugar before driving or operating machinery.
Does insulin detemir is safe for pregnant and nursing mothers?

There are no adequate studies to determine the risk of the use of the treatment in women during pregnancy or breastfeeding. Always consult a physician to consider the potential benefits and risks before using this medication. These drugs belong to the pregnancy risk category D.

A = no risk,

B = not at risk in some studies,

C = there may be risks,

D = positive proved risky,

X = contraindications,

N = unknown

There has been no adequate studies on the use of these drugs in women to determine the risk to the fetus when using drugs during breastfeeding. Consider in advance about the benefits and risks before using this medicine during breastfeeding.


 Interaction

 
What medications may interact with insulin detemir?


Drug interactions can alter the performance of your medication or increase the risk of serious side effects. Not all possible drug interactions are listed in this document.Save the list of all the products that you use (including prescription medicines/herbal products and nonresep) and consult a doctor or pharmacist. Do not start, stop, or change the dosage of any medication without a doctor's approval.

Exenatide (Byetta, Bydureon)
Liraglutide (Victoza)
every oral diabetes medicines (who was drunk), especially the Metformin (Glucophage, Actoplus Met, Avandamet, Glucovance, Janumet, Jentadueto, Kombiglyze, Metaglip, or Prandimet)
Use of certain drugs can be difficult in checking blood sugar levels low. Tell the doctor if you use one of the following drugs.

Asthma medications
Cholesterol-lowering drugs
Heart or blood pressure medications, including diuretics (water pills)
Medications to treat depression or psychiatric disorders
Steroid medications
Sulfa drugs
Thyroid replacement medication

 Whether food or alcohol can interact with insulin detemir?


Certain medicines should not be used when eating or eating certain foods because of drug interactions may occur. Consuming alcohol or tobacco with certain drugs can also cause the interaction to occur. Discuss Your use of medications with food, alcohol, or tobacco with your health care provider.


What health conditions that can interact with insulin detemir?


Other health conditions you have could affect the use of these drugs. Always tell the doctor if you have any other medical problems, especially:

Ketoacidosis. Should not be used by patients with this disease
emotional disorders
disease
stress. This condition can increase blood sugar levels and increase levels of insulin or Insulin Detemir you need
Hypoglycemia (low blood sugar). If blood sugar levels are low and you use insulin, blood sugar will reach the lowest level
Kidney disease
Diseases of the liver. The effects of Insulin Detemir would increase or decrease. The doctor may need to change your insulin dose

 Overdose

 What should I do in a State of emergency or an overdose?


In the case of emergency or overdose, call your local emergency service providers (112) or immediately to the emergency unit of a nearby hospital.

An overdose of Insulin Detemir may occur if you use too much Insulin Detemir or when you use the Insulin Detemir in proper doses but eating less than usual, or exercise more than usual. An overdose of Insulin Detemir may trigger hypoglycemia. If you have symptoms of hypoglycemia, follow the instructions of the doctor. Other symptoms of overdose are:

Seizures
Lost consciousness

What should I do if a dose is missed?


Immediately inject insulin (as you remember) when you forget to use it. If the use of the dose has expired, follow the doctor's instructions or contact your doctor if you should inject insulin is missed. Do not double the dose.



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