Detemir insulin: functions, dosage, side effects, how to use

What Drug Detemir Insulin?

What is insulin detemir for?

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

Detemir insulin is a man-made product that is similar to real insulin. This drug can replace the function of insulin produced in the body. This drug acts longer than real insulin, keeping insulin levels low and stable. This drug works by helping blood sugar (glucose) enter the cells so that the body can use it for energy. Detemir Insulin can be used with shorter-acting insulin products. This drug can also be used with other diabetes drugs, such as Metformin and Exenatide.

How to use insulin detemir?

Study all instructions for use from your health care professional and product packaging. Before using this medication, check the product for particles or discoloration. Do not use it if the things mentioned earlier are happening. Detemir insulin should not contain particles or discoloration. Before injecting a dose, sterilize the injection with alcohol. Do not inject into the same area to reduce skin injury and prevent the development of problems in the subcutaneous tissue (lipodystrophy). Detemir Insulin can be injected into the area of the abdomen, thighs, or upper back of the arm. Do not inject into a vein or muscle as this can cause blood sugar to become very low (hypoglycemia). Do not rub the area that was injected. Do not inject into skin that is red, swollen, or itchy. Do not inject cold insulin as it will be painful. Containers used to store insulin can be stored at room temperature (see also Storage section). Do not shake the storage container.

Inject this medication under the skin as directed by your doctor, usually once or twice a day. Insulin Detemir is usually injected at dinner or before bed. If you are taking it twice daily, give it as directed by your doctor, usually the first dose in the morning and the second at dinner, before bed, or 12 hours after the morning dose. This product should not be mixed with other insulin. Do not use Insulin Detemir in infusion pumps. Do not change brands or types of insulin without instructions from your doctor.

Learn how to store and dispose of medical supplies safely.

The dosage is based on the medical condition and the body's response to treatment. Measure your dosage very carefully because the slightest change in dosage may have a big impact on your blood sugar levels.

Monitor your blood or urine sugar levels as directed by your doctor. Take this measurement down and tell your doctor. This is very important to do to determine the right insulin dose for you.

Use this remedy regularly for the best benefits. To help you remember, use it at the same time each day.

How to store insulin detemir?

This medicine should be stored in the refrigerator without opening the bottle cap. Don't freeze it. Do not use insulin detemir if it has frozen. Detemir insulin can be stored up to the date printed on the company label.

If you don't have a refrigerator (for example, when on vacation), store insulin at room temperature and keep it away from heat and direct light. Uncooled bottled insulin can be used within 42 days, any more should be discarded. The opened bottle can be stored for 42 days at room temperature or in the refrigerator. The opened insulin pen can be stored at room temperature for up to 42 days, do not refrigerate. Throw away any Insulin Detemir that is exposed to extreme heat or cold.

Other brands of this drug can have different storage rules. Pay attention to the storage instructions on the packaging of your product, or ask your pharmacist. Keep all medicines out of reach of children and pets. Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.

Detemir Insulin Dosage

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

What is the insulin detemir dosage for adults?

Adult Dose for Type 2 Diabetes

Initiation of Detemir Insulin Therapy:

The recommended initial dose of Detemir Insulin in patients with type 1 diabetes is approximately one-third of the total daily insulin requirement. Short or short-acting insulin, as well as insulin before meals should be used to meet daily insulin needs.

The initial dose in patients with type 2 diabetes is insufficient using only antidiabetic drugs, orally: 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 Detemir Insulin Therapy:

The recommended initial dose of Detemir Insulin in patients with type 1 diabetes is approximately one-third of the total daily insulin requirement. Fast or short-acting insulin, as well as insulin before meals should be used to meet daily insulin needs.

Initial dose in patients with type 2 diabetes who is not adequately controlled with antidiabetic drugs, orally: 10 units (or 0.1-0.2 units / kg) given once a day at night or divided into two times a day.

What is the dose of insulin detemir for children?

Children's Dose for Type 1 Diabetes

For use in pediatric patients aged 2-17 years with type 1 diabetes (should not be used in pediatric patients with type 2 diabetes):

Initiation of detemir insulin therapy:

In what dosage is insulin detemir available?

Injection, under the skin: 100 units / ml

Detemir Insulin Side Effects

What side effects can be experienced due to insulin detemir?

Get medical help if you develop signs of an insulin allergy: itchy skin rash all over your body, wheezing, difficulty breathing, increased heart rate, sweating, or feeling like you might pass out.

Call your doctor if you have serious side effects such as:

itching, swelling, or redness at the area where the Insulin Detemir is injected
swelling of the hands or feet
low potassium (confusion, uneven heart rate, extreme thirst, increased urination, discomfort in the legs, muscle weakness or weakness)

Less serious side effects include:

thickening of the skin at the area where the Detemir Insulin is injected
weight gain
mild headache, back pain
stomach ache
flu symptoms, such as stuffy nose, sneezing, sore throat

Not everyone experiences the following side effects. There may be some side effects not listed above. If you have concerns about certain side effects, consult your doctor or pharmacist.

Warnings and Cautions for Insulin Detemirs

What should be known before using insulin detemir?

Before using insulin detemir,

call your doctor and pharmacist if you are allergic to insulin (Humulin, Novolin, others), any of the ingredients of Insulin Detemir, or any other medication. Ask the pharmacist or check the Patient Information section of the product label for a list of medicinal ingredients
contact your doctor and pharmacist about all prescription / non-prescription drugs, vitamins, nutritional supplements, and herbal products that you are using. Make sure you mention one of the following substances: Enzyme (ACE) Angiotensin-Converting Inhibitor 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), and Propranolol (Inderal); cholesterol-lowering drugs such as Fenofibrate (Antara, Lofibra, Tricor, Triglide) and Gemfibrozil (Lopid); Clonidine (Catapres, Catapres-TTS, in Clorpres); Danazol; Disopiramid (Norpace, Norpace CR); Diuretics ('water pills'); Fluoxetine (Prozac, Sarafem, in Symbyax); hormone replacement therapy; Isoniazid (INH, Nydrazid); Lithium (Eskalith, Lithobid); medications for asthma and colds; medicine for mental illness and nausea; Monoamine Oxidase (MAO) inhibitors, including Isocarboxazid (Marplan), Phenelzine (Nardil), Selegiline (Eldepryl), and Tranylcypromine (Parnate); Octreotide (Sandostatin); oral contraceptives (birth control pills); oral diabetes drugs such as Pioglitazone (Actos, in Actoplus Met and others) and Rosiglitazone (Avandia, in Avandamet and others); Oral steroids such as Dexamethasone (Decadron, Dexone), Methylprednisolone (Medrol), and Prednisone (Deltasone); Pentamidine (Nebupent, Pentam); Reserpine; Salicylate pain relievers such as Aspirin, Choline Magnesium Trisalicylate (TRICOSAL, Trilisate), Choline Salicylate (Arthropan), Diflunisal (Dolobid), Magnesium Salicylate, and Salsalat (Argesic, Disalcid, Salgesic); Somatropin (Nutropin, Serostim, and others); sulfa antibiotics; and thyroid drugs. Your doctor may need to change your medication dose or monitor you carefully to prevent side effects.
tell your doctor if you have or have ever had nerve damage caused by diabetes, heart failure; or other health problems, including heart, kidney or liver disease.
call your doctor if you are pregnant, planning to become pregnant, or are breastfeeding. If you become pregnant while using Insulin Detemir, call your doctor.
if you are having surgery, including dental surgery, tell your doctor or dentist that you are taking Detemir Insulin.
alcohol can cause changes in blood sugar levels. Ask your doctor about the safe use of alcoholic beverages while you are using Insulin Detemir.
ask your doctor if you are sick, experiencing unusual stress, or changing your diet, exercise, or routine. These changes will affect your dosing schedule as well as the amount of insulin you need.
ask your doctor how often you should check your blood sugar. You need to be aware that hypoglycemia can affect your ability to perform tasks such as driving. Ask your doctor to check your blood sugar before driving or operating machinery.

Is insulin detemir safe for pregnant and lactating women?

There are no adequate studies to determine the risks of using the medication in women during pregnancy or breastfeeding. Always consult your doctor to weigh the potential benefits and risks before using this medication. This medicine falls into the risk category of pregnancy D.

A = no risk,

B = no risk in several studies,

C = there may be a risk,

D = tested positive for risk,

X = contraindicated,

N = unknown

There have not been adequate studies on the use of this drug in women to determine the risk to the fetus when using the drug during breastfeeding. Consider the benefits and risks before using this medicine during breastfeeding.

Detemir Insulin Drug Interactions

What medicines may interact with insulin detemir?

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

Exenatide (Byetta, Bydureon)
Liraglutide (Victoza)
any oral diabetes medication (taken by mouth), especially Metformin (Glucophage, Actoplus Met, Avandamet, Glucovance, Janumet, Jentadueto, Kombiglyze, Metaglip, or Prandimet)

Using certain drugs can make it difficult to check low blood sugar levels. Tell your doctor if you are taking any of the following drugs.

asthma medication
cholesterol-lowering drugs
heart or blood pressure medications, including diuretics (water pills)
medicine to treat depression or psychiatric disorders
steroid medicine
sulfa drugs
thyroid replacement medication

Can food or alcohol interact with insulin detemirs?

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

What health conditions can interact with insulin detemir?

Any other health conditions you have can affect the use of this drug. Always tell your doctor if you have other health problems, especially:

ketoacidosis. Should not be used by patients with this disease
emotional disturbance
disease
stress. This condition can increase blood sugar levels and increase the insulin or Insulin Detemir levels you need
hypoglycemia (low blood sugar). If your blood sugar levels are low and you are taking insulin, your blood sugar will be at its lowest level
Kidney illness
liver disease. The effect of Detemir Insulin will increase or decrease. Your doctor may need to change your insulin dose

Detemir Insulin Overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.

Detemir Insulin Overdose can occur if you use too much Detemir Insulin or when you take the correct dosage of Detemir Insulin but eat less than usual or exercise more than usual. Detemir insulin overdose can trigger hypoglycemia. If you have symptoms of hypoglycemia, follow your doctor's instructions. Other symptoms of an overdose include:

convulsions
lost consciousness

What should I do if I miss a dose?

Give insulin immediately (when you remember) if you forget to use it. If the dose has passed, follow your doctor's instructions or contact your doctor whether you should inject the missed insulin. Don't double the dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.