Insuget R/Insuget N/Insuget 70/30 Special Precautions

Insulin requirements may change significantly in diseases of the adrenal, pituitary or thyroid glands and in the presence of renal or hepatic impairment.
Insulin requirements may be increased during illness or emotional disturbances.
Care is also necessary during excessive exercise. Hypoglycemia caused by metabolic effects and increased insulin absorption is the usual response, but hyperglycemia may sometimes occur. Adjustment of insulin dosage may also be necessary if patients change their level of physical activity or change their usual diet.
The use of insulin necessitates monitoring of therapy eg, testing of blood or urine for glucose concentrations and the urine for ketones, by the patient.
Local reactions, characterized hypersensitivity may produce urticaria, angioedema and very rarely anaphylactic reactions. If continued therapy with insulin is essential, hyposensitization procedures may need to be performed.
Missed Dose: Timing of insulin doses is extremely important. The best approach is to measure blood glucose and add a dose of regular insulin if glucose levels are too high. Otherwise, wait for the next scheduled dose.
Stopping Insuget: Do not stop taking insulin injections unless ordered by the doctor. Patients with diabetes are often given general instructions for modifying their insulin doses based on home blood glucose measurements.
Use in pregnancy: It is essential to maintain good control of the insulin-treated (insulin-dependent or gestational diabetes) patients throughout pregnancy. Insulin requirements usually fall during the 1st trimester and increase during the 2nd and 3rd trimesters. Patients with diabetes should be advised to inform their doctors if they are pregnant or are contemplating pregnancy.
Careful monitoring of glucose control, as well as general health, is essential in pregnant patients with diabetes.
Use in lactation: There are no restrictions in insulin treatment while treating a diabetic nursing mother, as it involves no risk to the baby. However, the insulin dosage may need to be reduced.