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| <div style="overflow:auto; height: 1px; "> | | <pre> |
| | Provider identification |
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| | Publication of information found in EDM/2 may be in violation of the laws of the country or jurisdiction from where you are viewing this information. The database is stored on servers in Germany, and is maintained in reference to the protections afforded under local law. Laws in your country or jurisdiction may not protect or allow the same kinds of speech or distribution. EDM/2 does not encourage the violation of any laws, and cannot be responsible for any violations of such laws, should you link to this domain or use, reproduce or republish the information contained herein. |
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| Older adults—Use in older adults is similar to use in other age groups. However, sometimes the first signs of low or high blood sugar are missing or not easily seen in older patients. This may increase the chance of low blood sugar during treatment. Also, some older people may have vision problems or other medical problems that make it harder for them to measure and inject the medicine. Special training and equipment may be needed.
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| Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Do not take any other medicine, unless prescribed or approved by your doctor. When you are using insulin, it is especially important that your health care professional know if you are taking any of the following:
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| Alcohol—Small amounts of alcohol taken with meals do not usually cause a problem; however, larger amounts of alcohol taken for a long time or in one sitting without food can increase the effect of insulin to lower the blood sugar level.
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| This can keep the blood sugar low for a longer period of time than normal
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| Beta-adrenergic blocking agents (acebutolol [e.g., Sectral], atenolol [e.g., Tenormin], betaxolol [e.g., Kerlone], bisoprolol [e.g., Zebeta], carteolol [e.g., Cartrol], labetalol [e.g., Normodyne], metoprolol [e.g., Lopressor], nadolol [e.g., Corgard], oxprenolol [e.g., Trasicor], penbutolol [e.g., Levatol], pindolol [e.g., Visken], propranolol [e.g., Inderal], sotalol [e.g., Sotacor], timolol [e.g., Blocadren])—Beta-adrenergic blocking agents may increase the chance of developing either high or low blood sugar levels. Also, they can cover up symptoms of low blood sugar (such as fast heartbeat). B
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| Because of this, a person with diabetes might not recognize that he or she has low blood sugar and might not take immediate steps to treat it. Beta-adrenergic blocking agents can also cause a low blood sugar level to last longer than normal
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| Corticosteroids (e.g., prednisone or other cortisone-like medicines)—Corticosteroids taken over several weeks, applied to the skin over a long period of time, or injected into a joint may increase the blood sugar level. Higher doses of insulin may be needed during corticosteroid treatment and for a period of time after corticosteroid treatment ends
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| Pentamidine (e.g., NebuPent)—Your dose of pentamidine or insulin or both may need to be adjusted if your pancreas can still make some insulin because pentamidine may cause your pancreas to release its insulin too fast. This effect at first lowers the blood sugar but then causes high blood sugar
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| Other medical problems—The presence of other medical problems may affect the dose of insulin you need. Be sure to tell your doctor if you have any other medical problems, especially:
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| Changes in female hormones for some women (e.g., during puberty, pregnancy, or menstruation)
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| Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
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| Get emergency help immediately if any of the following symptoms of overdose occur:
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| Cold, clammy skin; confusion (severe) ; convulsions (seizures); diarrhea; dizziness (severe); drowsiness (severe); increased sweating; low blood pressure; nausea or vomiting (continuing); nervousness or restlessness (severe) ; pinpoint pupils of eyes; shortness of breath or unusually slow or troubled breathing; slow heartbeat; stomach cramps or pain ; weakness (severe)
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Provider identification
?
?
?
Jurisdiction and legality of content
Publication of information found in EDM/2 may be in violation of the laws of the country or jurisdiction from where you are viewing this information. The database is stored on servers in Germany, and is maintained in reference to the protections afforded under local law. Laws in your country or jurisdiction may not protect or allow the same kinds of speech or distribution. EDM/2 does not encourage the violation of any laws, and cannot be responsible for any violations of such laws, should you link to this domain or use, reproduce or republish the information contained herein.