Hypoglycemia (low blood sugar) can be very serious. If blood sugar level falls too much, the patient may become unconscious. Serious hypoglycemia may cause brain damage and may be life-threatening. If the patient has symptoms of low blood sugar, actions to increase blood sugar levels should be taken immediately.
Contact the physician immediately if patient experience the following symptoms: Large-scale skin reactions (rash and itching all over the body), severe swelling of skin or mucous membranes (angioedema), shortness of breath, a fall in blood pressure with rapid heart beat and sweating. These could be symptoms of generalized allergy to insulin including anaphylactic reaction which may be life-threatening.
Very Common (>1/10 Patients): Hypoglycemia: Hypoglycemia (low blood sugar) means that there is not enough sugar in the blood.
Common (>1/100 but <1/10 Patients): Skin and Allergic Reactions: Reactions at the injection site may occur eg, reddening, unusually intense pain on injection, itching, hives, swelling or inflammation at the injection site. They can also spread around the injection site. Most minor reactions to insulins usually resolve in a few days to a few weeks.
Uncommon (>1/1,000 but <1/100 Patients): Systemic Allergic Reactions: Generalized allergy to insulin. Associated symptoms may include large-scale skin reactions (rash and itching all over the body), severe swelling of skin or mucous membranes (angioedema), shortness of breath, fall in blood pressure with rapid heartbeat and sweating. Severe cases of generalized reactions, including anaphylactic reaction, may be life-threatening.
Rare (>1/10,000 but <1/1,000 Patients): Skin Changes at the Injection Site (Lipodystrophy): If the patient injects insulin too often at the same skin site, fatty tissue under the skin at this site may either shrink or thicken. Insulin injected in such a site may not work very well. Changing the injection site with each injection may help to prevent such skin changes.
Other side effects include: Hyperglycemia (high blood sugar) means that there is too much sugar in the blood. If the patient's blood sugar level is too high, this indicates that the patient could have needed more insulin than injected.
Eye Reactions: A marked change (improvement or worsening) in blood sugar control can disturb the patient's vision temporarily. If the patient has proliferative retinopathy (an eye disease related to diabetes), severe hypoglycemic attacks may cause temporary loss of vision.
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