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in' su lin glar' geen, insulin glargine, treat type 1, insulin-dependent, diabetes, 'juvenile-onset', treat people with type 2, noninsulin-dependent, diabetes, 'adult-onset', who need long-acting insulin to control their diabetes, insulin glargine is a long-acting, man-made version, human insulin, insulin is a hormone made, pancreas, insulin helps move sugar from the blood into other body tissues where, used for energy, it also helps the body break down carbohydrates, fats, proteins from the diet, in a person with diabetes, the pancreas does not produce enough insulin for the body's needs, so additional insulin is required, people with diabetes may gradually develop serious nerve, blood vessel, kidney, eye problems if the diabetes is not controlled properly, insulin glargine comes as an injection to inject subcutaneously, beneath the skin, not into a vein, injected once a day at bedtime, the medication comes in vials, bottles, also prefilled containers, cartridges, insulin glargine you need depends on diet, other diseases, exercise, other drugs you are taking and may change with time, a physician will tell you how much you should take, take insulin glargine exactly as directed, take it more often than directed by the package label, prescribed by a physician, insulin glargine controls diabetes, taken regularly, take insulin glargine, do not stop taking insulin glargine, do not have to shake the vial, cartridge, insulin glargine before use, do not dilute, mix insulin glargine with any other insulin, solution, the syringe, must not have any other medicine, residue in it, insulin glargine comes in cartridges, the medication will already be inside, must only use the optipen one insulin delivery device with the cartridges, before you use the device, read the written directions that come with it, nurse to show you the right way to use this device, practice while my health care provider watches, insulin glargine comes in vials, will have to withdraw, draw up, the medication into a syringe, before you do this, read the written directions that come with it, pharmacist to show you the right way to withdraw the insulin glargine, inject the medication subcutaneously, practice while my health care provider watches, insulin glargine comes in vials you will need to use syringes, always use a syringe that is marked for u-100 insulin products, use the wrong syringe, may get the wrong dose, blood glucose level may end up being too low, too high, plastic syringes are disposable; use a new one for each injection, used needles will hurt more, known to cause, an infection, never share needles and syringes, to withdraw insulin glargine into the syringe, wash my hands, hold the vial, in my hands to warm the medicine, look at the medicine, vial, make sure, clear and colorless, cloudy, has particles, specks, in it, throw the vial away and get a new one, are using a new vial, remove the protective cap, do not remove the stopper, the rubber inside the cap, wipe the top, the vial with an alcohol swab, cotton dipped in rubbing alcohol, easier to withdraw insulin glargine if you first inject air into the vial, to do this, pull the plunger, the cylinder inside the syringe, back to the number, insulin glargine units you will have, take, now my syringe is filled with the right amount, air, insert the needle through the rubber cap and push on the plunger to inject the air into the vial, keep the syringe, vial and turn both upside down, hold the syringe and vial firmly with one hand, make sure the tip, the needle is, insulin, with my free hand, pull back on the plunger to withdraw insulin glargine into the syringe, measure the correct number, units, insulin glargine, before you take the needle out, the vial, be sure that there are no bubbles, syringe, there are bubbles, syringe, hold the syringe straight up and tap the side, the syringe until the bubbles float to the top, push the bubbles out with the plunger and draw insulin glargine back in until you have the correct dose, remove the needle from the vial, do not let the needle touch anything, are now ready to inject, trouble seeing the small markings on the syringe, someone help you, let a physician and pharmacist know about this problem, can provide syringes that are easier to read, special tools to help you fill the syringe, prefilled syringes, to inject my insulin glargine dose, decide on an injection area, abdomen, buttocks, thighs, arms, clean the skin at the injection site with an alcohol pad, cotton dipped in rubbing alcohol, pinch a fold, skin with my fingers at least 3 inches apart and insert the needle at a 45- to 90-degree angle, then slowly push the plunger, the syringe all the way, making sure you have injected all the insulin glargine, leave the needle, skin for several seconds, pull the needle straight out and press lightly on the spot where you injected myself for several seconds, do not rub the area, follow the directions given, for throwing away the needle and syringe, use a different site for each injection, about 1 inch away from the previous injection, same general area, the thigh, use all available sites, same general area before switching to a different area, the upper arm, the same injection site more often than once every month, before taking insulin glargine, allergic to insulin, medications i am taking, especially acetazolamide, diamox, aids antiviral medications; albuterol, proventil, ventolin, allergy, cold medications; angiotensin-converting enzyme inhibitors, ace inhibitors, captopril, capoten, enalapril, vasotec, lisinopril, prinivil, zestril, antibiotics; antipsychotics, fluphenazine, prolixin, mesoridazine, serentil, thioridazine, mellaril, beta-blockers, propranolol, inderal, calcitonin, calcimar, chloroquine, aralen, chlorpromazine, thorazine, clofibrate, atromid-s, clonidine, catapres, corticosteroids, dexamethasone, decadron, methylprednisolone, medrol, prednisone, deltasone, orasone, danazol, danocrine, disopyramide, norpace, diuretics, 'water pills', epinephrine; estrogens; fenofibrate, tricor, fluoxetine, prozac, sarafem, gemfibrozil, lopid, guanethidine, ismelin, isoniazid, inh, lithium, eskalith, lithobid, mebendazole, vermox, medications that contain alcohol, sugar; morphine, ms contin, niacin; nicotine; octreotide, sandostatin, oral contraceptives, birth control pills, oral medications for diabetes; pentamidine, pentam, phenelzine, nardil, phenytoin, dilantin, prochlorperazine, compazine, promethazine, phenergan, propoxyphene, darvon, reserpine, serpalan, salicylates, aspirin, diflunisal, dolobid, salsalate, disalcid, somatropin, human growth hormone, sulfa drugs; sulfinpyrazone, anturane, terbutaline, brethine, bricanyl, thyroid medications; tranylcypromine, parnate, trimeprazine, temaril, and vitamins, herbal products, ever had thyroid, liver, kidney disease , pregnant, plan to become pregnant, when breast-feeding , become pregnant while taking insulin glargine, surgery, dental surgery, taking insulin glargine, fever, infection, injury, illness with vomiting, diarrhea, may affect my blood sugar level, a special diet, exercise and dietary recommendations, dietitian, important to eat a healthful diet, alcohol increases blood sugar; ask a physician for information on how much is safe to drink, do not start a diet, an exercise program, insulin dose may need, changed, before you start taking insulin glargine, take a dose, accidently take an extra dose, write these directions down, refer to them later, what side effects can this medication cause, low and high blood sugar and what to do, low blood sugar , hypoglycemia, eat, drink a food, beverage with sugar in it, hard candy, fruit juice, low blood sugar , shakiness, dizziness , fast pulse , heartbeat, sweating, confusion, blurred vision , headache, numbness , tingling, the mouth, weakness, fatigue, pale color, sudden hunger, high blood sugar , hyperglycemia, high blood sugar , thirst, dry mouth, tiredness, flushing, dry skin, frequent urination, increased appetite, feelings, hunger, trouble breathing, side effects from insulin glargine are not common, symptoms are severe, redness, swelling, pain, itching at the injection site, changes, feel, skin, skin thickening, fat build-up, a little depression, skin, fat breakdown, look for symptoms, seizures, consciousness, exaggerated sunburn , difficulty speaking, moving, skin rash , hives all over the body, itching, redness, swelling, hands, feet, difficulty swallowing, shortness of breath, wheezing, trouble breathing, fast pulse , low blood pressure, sweating, glucose is often high, can develop a serious condition, diabetic ketoacidosis, be life threatening, blood tests show high amounts, glucose, urine tests show high amounts, glucose, acetone, ketoacidosis, need to call a physician immediately, insulin glargine to treat diabetic ketoacidosis, diabetic ketoacidosis, sleepiness, flushed, red, face, thirst, appetite, fruity odor on my breath, heavy breathing, fast pulse , store unopened insulin glargine vials and cartridges, refrigerator, never allow insulin glargine to freeze; do not use insulin glargine that has been frozen and thawed, never heat insulin glargine to warm it, unopened refrigerated insulin glargine can be stored until the date shown on the company's label, no refrigerator is available, when on vacation, store the vials, cartridges at room temperature, away from direct sunlight and extreme heat, unrefrigerated 10-ml vials, cartridges can be used within 28 days, thrown away, unrefrigerated 5-ml vials can be used for 14 days, thrown away, refrigerated 5-ml vials can be used for up to 28 days, once the cartridge is placed, optipen one insulin delivery device, do not refrigerate, throw away any insulin that has been exposed to extreme heat, cold, when traveling, protect my insulin glargine vials from bumps, other rough handling, wrap them in clothes, middle, a suitcase, do not keep insulin in hot areas, a car, the glove compartment, trunk, when traveling by airplane, do not put insulin in checked luggage since the luggage, lost, always keep insulin with you, in carry-on luggage, drug disposal, emergency/overdose, overdose, the victim has collapsed, is not breathing, blood sugar and glycosylated hemoglobin, hba1c, should be checked regularly, response to insulin glargine, to monitor the effectiveness, insulin glargine, measure the amount, sugar, glucose, in my blood, urine, when blood sugar is above a certain high level, sugar in the urine, for measuring the amount, glucose, in my blood, can use a blood glucose meter, for the urine measurements, will need special paper tapes, tablets, plastic strips that change color depending on how much sugar is present, test my urine for ketones, substances present when diabetes is not under control, testing my urine and blood, lab test results, blood sugar is high, sugar, ketones are present, in my urine, dose, insulin glargine may need, changed when you are ill, especially with fever, vomiting, diarrhea, emotional changes, stress, gain, lose weight, change the amount, food you eat, amount, exercise you do, things happen, see my dentist twice yearly; see my eye doctor regularly; get my blood pressure checked regularly, travel across time zones, time my injections, when you travel, take extra insulin and supplies with you, wear medical alert identification, a bracelet, tag says you have diabetes, lantus
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