the main - Folk recipes of beauty
The use of insulin Novorad and its analogues with prices and reviews of diabetics. Novorad Penfil, solution for subcutaneous and intravenous introduction Novorahid action

The drug Novorad is a new generation tool, which allows you to fill the lack of human insulin. It has a number of advantages over other similar means, easily and quickly absorbed, instantly normalizes blood sugar, can be applied regardless of meals, since it is an ultra-screw insulin.

Novorad is produced in 2 types: Ready handles Flexpan, replaceable cartridges Painness. The composition of the medication in both cases is the same - transparent injection fluid, one ml contains 100 units of active substance. In the cartridge, as in the handle, contains 3 ml of insulin.

The price of 5 insulin cartridges Novorad Penfill on average will be about 1800 rubles, Flexpan costs about 2 thousand rubles. One package contains 5 syringe knobs.

Features of the drug

The main active agent substance is insulin aspart, it has a powerful hypoglycemic effect, is an analogue of short insulin, which is produced in the human body. This substance is obtained by applying recombinant DNA technology.

The drug comes into contact with the outer cytoplasmic membranes of amino acids, forms a complex of insulin endings, launches the processes occurring inside the cells. After reducing blood sugar, it is noted:

  1. increasing intracellular transport;
  2. increased tissue digestibility;
  3. activation of lipogenesis, glycogenesis.

Additionally, it is possible to achieve a reduction in the production of glucose biscuits.

Novorad is better absorbed by subcutaneous fatty tissue, rather than soluble human insulin, but the duration of the effect is much lower. The effect of the means occurs after 10-20 minutes after the injection, and its duration is 3-5 hours, the maximum insulin concentration is marked after 1-3 hours.

Medical studies of patients with diabetes mellitus of the first type have shown that the systematic application of NovoPid reduces the likelihood of the night at once several times. In addition, there is evidence of a significant decrease in postprandial hypoglycemia.

  • excessive sensitivity of the body to the components of the means;
  • children's age up to 6 years.

The drug is allowed to apply for the treatment of intercurrent diseases.

Instructions for use of the drug

Sugar level

To obtain an optimal result, this hormone must be combined with insuls of prolonged and average validity period. To control the level of glycemia, a systematic measurement of blood sugar is shown, adjusting the dose of the drug if necessary.

Often, the daily dose of insulin for diabetics varies in the gap of 0.5-1 units per kilogram of weight. One hormone injection ensures the daily need of the patient in insulin by about 50-70%, the rest is insulin of a long-acting.

  1. increase;
  2. changes in its diet;
  3. progression of concomitant diseases.

Insulin Novorad Flexpan, unlike soluble human hormone, acts quickly, but shortly. It is shown to apply the drug before taking food, but it is allowed to do it immediately after eating, if necessary.

Due to the fact that the medicine affects the body a short time, the likelihood of night hypoglycemia is significantly reduced. If the drug is used to treat the diabetics of old age, with hepatic, or renal failure, control of blood sugar levels must be produced more often, the volume of insulin is individually selected.

Insert insulin is necessary in the front area of \u200b\u200bthe abdomen, buttocks, shoulder, deltoid muscles. To prevent lipodystrophy, it is necessary to change the area into which the drug is injected. But you should know that the introduction to the front area of \u200b\u200bthe abdomen provides the most rapid absorption of the means, if compared with injections to other parts of the body.

The duration of the effect of insulin is directly affected by:

  • dosage;
  • place of injection;
  • patient activity;
  • the degree of blood flow;
  • body temperature.

Some diabetics recommended long subcutaneous infusions that can be carried out using a special pump. The introduction of the hormone is shown in the front abdominal wall, but, as in the previous case, the place must be changed.

Using an insulin pump, it is impossible to mix the drug with other insulin. Patients who receive the custody with the help of such a system, in the case of the device breakdowns must have a spare dose of the drug. NEPORPID Suitable for intravenous administration, but such an injection should only put medic.

During treatment, it is required to regularly donate blood for the concentration of glucose.

How to calculate the dosage

To accurately calculate the amount of the drug, it is necessary to know that the hormone insulin is ultrashort, short, medium, extended and combined. The combined drug is helped to bring blood sugar to normal, it is introduced on an empty stomach with diabetes mellitus of the first or second type.

If only extended insulin is shown in one patient, then, if necessary, prevent sharp drops of sugar jumps are shown exclusively new archite. For the treatment of hyperglycemia, you can simultaneously use short and long insulins, but in different time. Sometimes only a combined insulin drug is suitable for achieving the intended result.

Picking up the treatment, the doctor takes into account some aspects, for example, due to only the action of long insulin, it is possible to hold glucose and do without a short-acting drug.

The choice of a prolonged action is required in this way:

  1. before breakfast, blood sugar is measured;
  2. 3 hours after the second breakfast make another dimension.

Next, the study must be carried out every hour. In the first day of the selection of dosages, it is necessary to skip dinner, but dinner. On the second day, sugar measurements are carried out every hour, including at night. On the third day, the measurement is carried out so itself, the nutrition is not limited, but the short insulin does not colue. Ideal morning results: first day - 5 mmol / l; second day - 8 mmol / l; Third day - 12 mmol / l.

It should be remembered that new archite reduces blood sugar concentration is one and a half times stronger than its analogues. Therefore, you need to prick 0.4 dose of short insulin. It is possible to more accurately install the dosage by experiments, given the severity of diabetes. Otherwise, an overdose is developing, which will cause a number of unpleasant complications.

The main rules for determining the amount of insulin for diabetics:

  • early stage of diabetes first type - 0.5 U / kg;
  • if diabetes is observed for more than a year - 0.6 units / kg;
  • complicated diabetes - 0.7 units / kg;
  • decompensated diabetes - 0.8 U / kg;
  • diabetes on the background of ketoacidosis - 0.9 units / kg.

Pregnant women in the third trimester shown to introduce 1 units / kg insulin. To learn one-time dose The substances need a body mass multiplied by a daily dose, and then divided into two. The result obtained is rounded.

Novorad Flexpen

The introduction of the drug is carried out using a syringe knob, it has a dispenser, color encoding. The insulin volume can be from 1 to 60 units, step in the syringe - 1 unit. In the noveloor facility, the needle is 8 mm New Fine, Novotistra.

Using a syringe knob to introduce a hormone, you need to remove the sticker with the needle, fasten it to the handle. For the injection, every time you use a new needle, it helps to prevent the reproduction of bacteria. The needle is forbidden to damage, bend, transmit to other patients.

The syringe knob can inside contain a small amount of Air so that oxygen does not accumulate, the dose was introduced accurately, it is shown to comply with such rules:

  • dial 2 units, turning the dosage selector;
  • place the syringe knob with a needle up, knock a little finger on the cartridge;
  • press the start button until you stop (the selector returns to 0).

If a drop of insulin appears on the needle, the procedure is repeated (not more than 6 times). If the solution does not do, it means that the syringe knob is not suitable for use.

Before installing the dosage, the selector must stand in position 0. After that, the desired amount of the preparation is gaining, adjusting the selector in both directions.

It is forbidden to set the norm over the appointed, use the scale to determine the dosage of the means. When the hormone is introduced under the skin, it is necessary to follow the technique that is recommended by the doctor. To perform the injection, you click on the Start button, do not release it until the selector becomes 0.

The usual turn of the dosage pointer will not begin the supply of the drug, after the injection, the needle is required to hold under the skin for another 6 seconds, shrouding the start button. This will allow you to introduce new archive completely as a doctor appointed.

The needle needs to be removed after each injection, it should not be stored with the syringe, otherwise the drug will flow.

Unwanted effects

NEPORPID Insulin in some cases can provoke a number of adverse reactions of the body, it may be hypoglycemia, its symptoms:

  1. pallor skin Pokrov;
  2. excessive sweating;
  3. tremor limbs;
  4. unfortunate anxiety;
  5. muscle weakness;
  6. tachycardia;
  7. applying nausea.

Other manifestations of hypoglycemia will be a violation of orientation, a decrease in the concentration of attention, problems with vision, feeling of hunger. The blood glucose differences can cause cramps, loss of consciousness, serious brain impairment, fatal outcome.

Rarely have place allergic reactions, in particular, the urban, as well as a violation of the work of the organs digestive tract, angioedema edema, difficulty breathing, tachycardia. Local reactions You should call discomfort in the injection zone:

  • edema;
  • redness;

The symptoms of lipodystrophy are not excluded, violation of refraction. Doctors argue that such manifestations are purely temporary character, manifest themselves in dose-dependent patients, caused by insulin.

Analogues, patient reviews

If it happened that insulin Novo-Archd Penfill for some reason did not approach the patient, the doctor recommends that it uses the analogues. The most popular recognized funds of the drugs, generaluline H, Humalog, Novomiks, Rayzaodeg. Their cost is approximately the same.

Many patients have already managed to evaluate the drug Novorad, they note that the effect comes quickly, the adverse reactions are rare. The drug is excellent for the treatment of diabetes mellitus of the first and second type. The bulk of diabetics believes that the remedy is quite comfortable, especially the syringe knobs, they eliminate the need to acquire syringes.

In practice, insulin is used against the background of a long insulin course, it helps to keep blood glucose at an optimal level during the day, reduce glucose after meals. Some patients, Novorahid are shown exclusively at the very beginning of the disease.

The disadvantage of the means can be called a sharp glucose difference in children, as a result, patients may feel bad. To prevent such problems, it is necessary to switch to insulin of a long exposure time.

More diabetics note that with improper selection of dosages, symptoms of hypoglycemia develops, well-being deteriorated. The video in this article will continue the subject of insulin Novorad.

Analogue of human insulin short action.

Release form, composition and packaging

The solution for P / C and B / in the introduction is transparent, colorless.

In 1 ml of the solution contains:

active substance: Insulin aspart - 100 units (3.5 mg);

auxiliary substances: glycerol, phenol, metacrezol, zinc chloride, sodium chloride, sodium hydrophosphate dihydrate, sodium hydroxide 2m, hydrochloric acid 2M, water d / and.

10 ml (1000 units) - vial (1) - pack cardboard. 3 ml (300 units) - Glass (1) cartridges - multidosis-disposable syringe knobs for multiple injections (5) - Cardboard packs.

Indications

Sugar diabetes in adults, teenagers and children over 2 years old.

Contraindications

Increased sensitivity to insulin aspart and other components of the drug.

Dosage

Novorad is a high-speed analog of insulin. The dose of Novorad is determined by the doctor individually in accordance with the needs of the patient.

Typically, the drug is used in combination with insulin preparations of medium duration or long-term action, which are introduced at least 1 time / day. To achieve optimal control of glycemia, it is recommended to regularly measure the concentration of glucose in the blood and adjust the insulin dose. Usually the individual daily need for insulin adults and children ranges from 0.5 to 1 unit / kg body weight. With the introduction of the drug before meals, the need for insulin can be provided with a drug new architecture by 50-70%, the remaining need for insulin is provided by insulin of extended action.

Increasing the physical activity of the patient, the change in the usual nutrition or related diseases can lead to the need for a dose correction.

NEPORPID has a faster beginning and less duration of action than soluble human insulin. Thanks to the more rapid beginning of the action, new architects should be entered, as a rule, immediately before receiving food, if necessary, can be administered shortly after meals.

Due to the smaller duration of action compared to human insulin, the risk of developing night hypoglycemia in patients receiving new architect below.

elderly patients and patients with renal or liver failure It should be more carefully monitored by the concentration of glucose in the blood and adjust the aspart insulin dose individually.

Apply new architect instead of soluble human insulin children Preferably in the case when the rapid start of the drug is necessary, for example, when a child is difficult to observe the required time interval between injection and food intake.

For translation of the patient with other insulin preparations On Novorahid, a dose correction of new architect and basal insulin may be required.

Precautions when using

New Archd and needles are intended only for individual use. It is not allowed to re-fill the cartridge of the syringe knob.

New Arch cannot be used if it stopped being transparent and colorless, or if it was frozen. You should prevent the patient about the need to throw the needle after each injection.

NovoPid can be used in insulin pumps. The tubes, the inner surface of which is made of polyethylene or polyolefin, were monitored and recognized as suitable for use in the pumps. In emergency cases (hospitalization, malfunction of an insulin device) NEPPIDs for administration to the patient can be removed from NovoPide using an insulin syringe U100.

The patient should be prevented about in which cases cannot be used:

With allergies (hypersensitivity) to insulin aspart or any other component of the drug;

If hypoglycemia begins;

If the syringe knob dropped, or it is damaged or crushed;

If the conditions for storing the drug or it was frozen;

If insulin stopped being transparent and colorless.

Before applying, the patient must:

Check the label to make sure that the correct type of insulin is selected;

Always use a new needle for each injection to prevent infection;

Remember that new archite and needles are intended only for individual use;

Never introduce insulin in / m;

Every time you change the place of injection within the anatomical area, this will help reduce the risk of formation of seals and ulcerations at the placement site;

Regularly measure the concentration of glucose in the blood.

Rules for administration of drug

P / K Introduction

Novorature is introduced in / k in the front area abdominal wall, thigh, shoulder, deltoid or buttock area. Injection places within the same body of the body should be regularly changed to reduce the risk of development of lipodystrophy. As with the use of all drugs, insulin, the introduction into the front abdominal wall provides faster suction compared to the introduction to other places. The duration of action depends on the dose, the place of administration, the intensity of blood flow, temperature and level of physical activity. However, a faster start of action compared to soluble human insulin is maintained regardless of the localization of the injection site.

NEPORPID can be used for long-term insert infusions (PPIs) in insulin pumps developed for insulin infusion. PPIs should be produced into the front abdominal wall. Infusion sites should be changed periodically. When using an insulin pump for infusions, NovoPid should not be mixed with other types of insulins.

Patients using PPIs should be fully trained using a pump corresponding to the reservoir and tubes system for the pump. The infusion set (tube and catheter) should be replaced in accordance with the user manual attached to the infusion set. Patients receiving new staff by PPIs should have additional insulin in the event of a breakdown of the infusion system.

In / in introduction

If necessary, Novorature can be introduced in / in, but only by qualified medical personnel. For in / in administration, infusion systems are used with a drug of new arch / ml with a concentration of 0.05 units / ml to 1 units / ml of insulin aspart at a 0.9% sodium chloride solution; 5% dextrose solution or 10% dextrose solution containing 40 mmol / l potassium chloride using polypropylene infusion containers. These solutions are stable at room temperature for 24 hours. Despite stability for some time, a certain amount of insulin is initially absorbed by the material of the infusion system. During insulin infusion, it is necessary to constantly monitor the blood glucose concentration.

Using a syringe knob

Novorad is an insulin syringe knob with a dispenser and color encoding. Inserted dose of insulin, ranging from 1 to 60 units, can vary in 1 units. NovoPide is designed for use with new-fiction needles and new up to 8 mm long. As a precautionary measure, you should always wear a spare system for the introduction of insulin to the case of loss or damage to new archite.

Before using the syringe knob

1. Check the label to make sure that the new archite contains the required type of insulin.

2. Remove the cap from the syringe knob.

3. Remove the protective sticker with a disposable needle. Gently and tightly screwed the needle to Novorahid. Remove the outer cap from the needle, but not throw it away. Remove and discard the inner cap of the needle.

For each injection, use a new needle to prevent infection. Do not bend and not damage the needle before use. To avoid random injections, never put on the inner cap back on the needle.

Insulin receipt check

Even with the right use of a syringe knob, a small amount of air can accumulate before each injection in the cartridge. To prevent air bubble and providing the introduction of the correct dose of the drug:

1. Score 2 drugs with a dosage selector.

2. Holding new-arch needle, several times slightly knock on the cartridge with the tip of the finger so that air bubbles moved to top cartridge.

3. Holding the new arch of the needle up, press the start button until it stops. The dosage selector will return to "0".

At the end of the needle there should be a drop of insulin. If this did not happen, replace the needle and repeat the procedure, but not more than 6 times. If insulin does not come from the needle, this indicates that the syringe knob is faulty and cannot be further used.

Dose Installation

The dosage selector must be set to the "0" position.

Dial the number of units required for injection. The dose can be adjusted by the rotation of the dosage selector in any direction, until the correct dose is installed opposite the dosage pointer.

Overdose

A certain dose required to overdose insulin is not established.

Symptoms: Hypoglycemia, which can develop gradually, if too high doses are introduced relative to the patient's need.

Treatment: Light hypoglycemia The patient can eliminate himself, taking into the glucose or saham-containing food. Therefore, patients with diabetes are recommended to constantly carry sugar-containing products. In the case of severe hypoglycemia, when the patient is unconscious, it is necessary to introduce from 500 μg to 1 mg of glucagon in / m or p / k (a trained person can enter), or in / in glucose solution (dextrose) (can only be introduced a medical worker) . It is also necessary to enter dextrose in the case, if 10-15 minutes after the glucagon administration, the patient does not come into consciousness. After the recovery of consciousness, the patient is recommended to take food rich in carbohydrates for the prevention of hypoglycemia recurrence.

Medicinal interaction

Hypoglycemic effect of insulin reinforce oral hypoglycemic drugs, Mao inhibitors, ACE inhibitors, carboanhydrase inhibitors, non-selective beta-adrenobators, bromocriptine, sulfonamides, anabolic steroids, tetracyclines, clofibrate, ketoconazole, furnacesol, pyridoxine, theophylline, cyclophosphamide, phenfluramine, lithium, salicylate preparations.

The hypoglycemic effect of insulin weakens oral contraceptives, GKS, thyroid hormones, tiazide diuretics, heparin, tricyclic antidepressants, sympathomimetics, somatopin, danazole, clonidine, "slow" calcium channels, diazoxide, morphine, phenytoin, nicotine.

Beta-adrenoblocators can mask the symptoms of hypoglycemia.

Otreotide / Lanreotide can both increase and reduce the need for insulin.

Ethanol can both rein and reduce the hypoglycemic effect of insulin.

Pharmaceutical incompatibility

Drugs containing a thiol or sulfite group, when added to the drug, Novorad may cause the destruction of insulin aspart. The drug Novorad should not be mixed with other drugs. The exceptions are insulin-isofane and solutions for infusions listed above.

Side effects

The adverse reactions observed in patients receiving new architects are mainly dose-dependent and caused by the pharmacological effect of insulin. Most often An undesirable phenomenon when applying insulin is hypoglycemia.

A quick improvement in glycemic control can lead to the state of "acute pain neuropathy", which is usually reversible. Intensification of insulin therapy with a sharp improvement in carbohydrate control can lead to a temporary deterioration of diabetic retinopathy, at the same time, long-term improvement in glycemia control reduces the risk of progression of diabetic retinopathy.

Allergic reactions:hives, skin rash, anaphylactic reactions.

From the metabolism:hypoglycemia.

From side nervous system: peripheral neuropathy ("acute pain neuropathy").

From the body of the vision:disorders of refraction, diabetic retinopathy.

From the side of the skin and subcutaneous fabrics:lipodystrophy.

Others:edems, reactions at the injection site.

Description of individual adverse reactions:

Anaphylactic reactions

Very rare reactions of generalized hypersensitivity are noted (including generalized skin rash, itching, increased sweating, gastrointestinal disorders, angioedema swelling, breathing difficulties, rapid heartbeat, decreased blood pressure), which are potentially life-threatening.

Hypoglycemia

Hypoglycemia is the most frequent side effect. It can develop if the dose of insulin is too high in relation to the need for insulin. Heavy hypoglycemia can lead to loss of consciousness and / or cramps, temporary or irreversible impaired brain function up to death. Symptoms of hypoglycemia, as a rule, develop suddenly. They may include "cold sweat", the pallor of the skin, increased fatigue, nervousness or tremor, feeling of anxiety, unusual fatigue or weakness, orientation disorder, decreased attention concentration, drowsiness, pronounced feeling of hunger, violation, headache, nausea and rapid heartbeat. Clinical studies have shown that the frequency of the hypoglycemia varies depending on the population of patients, the dosing mode and control of glycemia. During clinical studies, the difference in the total frequency of the offensive of the episodes of hypoglycemia between patients receiving aspart insulin therapy, and patients receiving human insulin preparations.

Lipodystrophy

Infrequent cases of the development of lipodystrophy have been reported. Lipodystrophia can develop at the injection site.

special instructions

Before a long trip associated with changing time zones, the patient must consult with his doctor, as a time zone change means that the patient must take food and introduce insulin at another time.

Hyperglycemia

Insufficient dose of the drug or cessation of treatment, especially with type 1 diabetes mellitus, can lead to the development of hyperglycemia and diabetic ketoacidosis. As a rule, symptoms of hyperglycemia appear gradually, within a few hours or days. Symptoms of hyperglycemia are nausea, vomiting, drowsiness, redness and dry skin, dry mouth, increase the amount of urine, thirst and loss of appetite, as well as the appearance of the smell of acetone in exhaled air. Without appropriate treatment, hyperglycemia can lead to death.

Hypoglycemia

Passing of food intake, unplanned increased physical activity or too high in relation to the patient's need for insulin dose can lead to hypoglycemia.

After compensating carbohydrate exchange, for example, with intensified insulin therapy, patients may change typical symptoms of hypoglycemia for them, which patients should be informed.

Ordinary precursor symptoms can disappear with long-term flow of diabetes.

The consequence of the pharmacodynamic features of an analogues of insulin of a short action is that the development of hypoglycemia when applying them can begin earlier than when using soluble human insulin.

Since NovoPid should be applied in direct connection with food intake, it should take into account the high rate of the effect of the drug in the treatment of patients having concomitant diseases or taking drugs that slow down food suction.

Related diseases, especially infectious and accompanied by fever, usually increase the body's need for insulin. The dose correction of the drug may also be required if a patient has concomitant kidney diseases, liver, impaired adrenal function, pituitary gland or thyroid gland.

When translating the patient to other types of insulin, early symptoms of hypoglycemia harbingers may become less pronounced compared to those using the previous type of insulin.

Transfer of a patient with other insulin preparations

Patient translation to a new insulin type or an insulin preparation of another manufacturer must be carried out under strict medical monitoring. With a change in concentration, type, producer and type (human insulin, animal insulin, an analogue of human insulin), insulin and / or manufacturing methods may be required to change the dose or an increase in the frequency of injections compared to previously used insulin preparations. If you need a dose correction, it can already be produced at the first introduction of the drug or during the first weeks or months of treatment.

Reactions at the place of administration

As in the treatment of other insulin preparations, reactions can develop at the place of administration, which is manifested by pain, redness, urticule, inflammation, hematoma, swelling and itching. The regular change of injection site in the same anatomical area can reduce symptoms or prevent the development of reactions. In very rare cases, it may be necessary to cancel new archite.

The simultaneous use of drugs of the thiazolidinedione group and insulin preparations

It has been reported on the development of chronic heart failure in the treatment of patients with thiazolidinediones in combination with insulin preparations, especially if there are risk factors in such patients with chronic heart failure. This fact should be taken into account when prescribing patients with combination therapy with thiazolidinediones and insulin preparations. When appropriate such combined therapy, it is necessary to conduct medical examinations of patients for the identification of signs and symptoms of chronic heart failure, increasing body weight and edema. In case of deterioration in patients, symptoms of heart failure treatment with thiazolidinediones must be discontinued.

With violations of the kidney function

The violation of the kidney function can lead to a decrease in insulin need.

As with the use of other insulins in patients with renal failure, it should be more carefully monitored by the concentration of glucose in the blood and adjust the dose of insulin asparta individually.

When violations of the liver function

Violation of the liver function can lead to a decrease in insulin need.

As with the use of other insulins in patients with hepatic insufficiency, it should be more carefully monitored by the glucose concentration in the blood and adjust the aspart insulin dose individually.

Impact on the ability to driving vehicles and control mechanisms

The ability of patients to the concentration of attention and the reaction rate may violate during hypoglycemia, which may be dangerous in those situations where these abilities are particularly necessary (for example, when managing vehicles or working with machines and mechanisms). Patients need to be recommended to take measures to prevent the development of hypoglycemia when managing vehicles and working with mechanisms. This is especially important for patients with the absence or decrease in the severity of symptoms of harbingers of developing hypoglycemia or suffering from frequent episodes of hypoglycemia.

Pregnancy and lactation

Newordy can be prescribed during pregnancy. In two randomized controlled clinical studies (157 + 14 surveyed pregnant women), no adverse effects of insulin aspart were identified during pregnancy or the health of the fruit / newborn compared to human insulin.

It is recommended to carefully control blood glucose levels and monitoring pregnant women with diabetes diabetes (1 type, 2 types or gestational diabetes) throughout pregnancy, as well as during the possible occurrence of pregnancy. The need for insulin is usually reduced in the I trimester and gradually rises in the II and III trimesters of pregnancy. Soon after childbirth, the need for insulin quickly returns to the level that was before pregnancy.

During the period breastfeeding Novorad can be applied without restrictions, because Introduction Insulin nursing woman does not pose a threat to a child. However, the need for a dose correction may arise.

Childcare

Application in old age

As with the use of other insulins, elderly patients It should be more carefully monitored by the concentration of glucose in the blood and adjust the aspart insulin dose individually.

Terms and Storage Terms

The drug should be stored at temperatures from 2 ° to 8 ° C (in the refrigerator, but not near the freezer); Do not freeze. To protect against the light, keep a syringe knob with a cap. Shelf life - 30 months.

Novorad should be protected from exposure to excess heat and light.

Used or portable as a spare syringe knob with a preparation not to store in the refrigerator. Store at a temperature not higher than 30 ° C. Use for 4 weeks.

The drug should be stored in an inaccessible place for children.

Insulin Novorad is a new generation drug that allows you to fill the lack of hormone in the body. It has many advantages: it is easily and quickly absorbed, normalizes blood sugar levels, can be applied regardless of meals. Refers to the category of insulins of ultrashort action.

Composition

The diabetic agent Novorad is a colorless injection fluid. Available in replaceable cartridges and syringe knobs of 3 ml. The acting component of the drug, insulin aspart, has a powerful hypoglycemic effect and is an analogue of the human hormone. The substance is obtained by biotechnology by recombinant DNA and is 100 me, or 3.5 g from the total solution.

Additional components - glycerol, phenol, metacrezol, zinc chloride, sodium chloride, sodium hydrophosphate dihydrate, sodium hydroxide, hydrochloric acid and water.

Indications and contraindications

Novorad is prescribed when diabetes 1 and 2 types. Insulin-dependent diabetics, the drug should be administered when diagnosing resistance to hypoglycemic compositions designed for oral administration.

You can take children from 2 years. However, this composition did not pass clinical trials, so it is possible to enter the drug only after 6 years. The testimony to the appointment serve difficulties in respecting the child between the injections and food intake.

The contraindications should be noted individual sensitivity to drug components. With extreme caution, appointed elderly people with hepatic or renal failure.

Method of application and dosage

Novorah is designed for subcutaneous and intravenous administration. The dose of hormone is selected individually taking into account the characteristics of the body and the severity of the disease. The drug is recommended to be used in combination with prolonged or medium-sized insuls that are introduced 1 time per day. To avoid jumps of glucose levels, before the introduction of novelopide, check blood sugar and adjust the dose depending on the indicators.

The recommended daily dose of the drug for adults and children fluctuates in the range of 0.5-1 meters of body weight. New architect can be administered immediately before meals. In this case, insulin will cover about 60-70% of diabetic needs. The rest of the amount will be compensated at the expense of prolonged insulins. Permissible and introducing composition after meals.

Adjust the dose of the hormone is necessary:

  • when changing the usual diet;
  • at intercurrent diseases;
  • with unplanned or excessive physical exertion;
  • with operational interventions.

The insulin dosage of short action is usually selected after measuring the level of sugar during the week. Based on these indicators, the specialist will make an individual reception scheme. For example, if blood glucose jumps are observed in the evening, new architects are administered 1 time per day before dinner. If sugar rises after each snack, injections should be prick before meals.

To introduce insulin, choose the areas of the thighs, shoulders, buttocks and anterior abdominal wall. To reduce the risk of lipodystrophy, the injection zone must be alternating.

The validity of the hormone depends on many factors: dosages, places of administration, strength of blood, physical activity, etc. If necessary, administration of the means is possible with an insulin pump. However, this method should be applied only if there is the necessary skills and sweater (tank, catheter and tubes). Intravenous administration is permissible only under the watchful control of the specialist. For infusion, an insulin solution with sodium chloride or dextrose is used.

Novorad Flexpen

Most often, the drug is injected with a syringe knob. Insulin Novorad Flexpen is equipped with a color encoding and dispenser. One step of the syringe contains 1 method of substances. Before using the hormone, you must carefully read the instructions for use. Check the date of manufacture and expiration date. Then remove the cap from the syringe and remove the sticker from the needle. Screw the needle to the handle. Remember: For each injection, you should use a sterile needle.

The manufacturer warns that the syringe knob may contain insignificant air. To avoid the accumulation of oxygen bubbles and correctly enter the drug, stick to certain rules. Type 2 pieces of hormone, lift the syringe with a needle up and gently knock on the cartridge with the tip of the finger. So you move the air bubbles up. Now click the Start button and wait for the dosage selector to return to the "0" position. With a working syringe, a drop of composition will appear on the needle. If this did not happen, try again several times. The notion of insulin in the needle indicates a syringe problem.

Making sure that the device is functioning normally, set the dosage selector of the syringe to the "0" position. Type the required amount of preparation. Be careful when setting a dose. Random pressing can cause premature hormone emission. Do not set the norm more than prescribed by the manufacturer. Enter insulin, adhering to the techniques and recommendations of the attending physician. Do not remove your finger from the start button for 6 seconds after the injection, so you will achieve a complete dose administration.

Remove the needle and direct it into the outer cap. After it goes there, unscrew and dispose of. Close the syringe with a cap and remove into the storage place. Detailed information on the injection and utilization of the needled used can be found in the instructions for use.

Using the drug Novorad Flexpan is prohibited in certain cases.

  • Allergic reactions to insulin aspart or other components of the drug.
  • Hypoglycemia in the initial stage (always measure sugar before the introduction of the hormone).
  • The syringe knob is damaged, crushed or dropped it on the floor.
  • Liquid in a muddy syringe, extraneous particles flood or sediment visible.
  • Storage conditions are violated drug Or the substance was drilled.

The surface of the syringe knob can be treated with an alcohol napkin. It is forbidden to immerse the noveltyphid of Flexpen in liquid, wash and lubricate. Otherwise, the mechanism of the device may fail.

New Arch for pregnancy

Like other insulins, new archite is allowed to use during pregnancy and lactation. Many special studies confirmed that the drug does not adversely affect the fruit. but future mom It should carefully monitor blood glucose indicators, since hypo-and hyperglycemia is dangerous to health and women, and baby.

A short action insulin dosage must be adjusted depending on the period of pregnancy. At the beginning of the 1st trimester, the need for insulin will be much less than by the end of the 2nd and the beginning of the 3rd trimester. Immediately after childbirth, glycemia rates come back, but in rare cases it may still be needed a small adjustment.

Side effects and overdose

Most often, unwanted reactions occur on the hormone itself and are manifested in the form of hypoglycemia, which is accompanied by:

  • excessive sweating
  • skin pallor
  • nervousness
  • unreasonable sense of anxiety
  • tremor limbs
  • weakness in the body
  • violation of orientation and decreased concentration of attention.

Often, an excessive decrease in blood sugar can cause:

  • dizziness,
  • hunger,
  • vision problems
  • nausea
  • headaches,
  • tachycardia.

The heavy degree of glycemia is able to lead to loss of consciousness, convulsions, violations brain circulation and lethal outcome.

With the improper use of the drug, local and allergic reactions are possible: urticaria, itching, redness and swelling. Most often, these symptoms arise at the beginning of the use of the hormone and after some time they own. However, some diabetics also noted other allergic reactions, accompanied by a digestion disorder, angioedema edema, complicated breathing, rapid heartbeat and reduced arterial pressure.

Unlimited use of insulin NEPPIDs can lead to an overdose, which is accompanied by hypoglycemia. Easy degree of overdose is easy to eliminate yourself. To do this, eat products containing sugar. The average and heavy forms of glycemia, accompanied by the loss of consciousness, should be treated under a hospital.

Analogs

If for any reason, Novorah did not approach the patient, the endocrinologist may choose his analogues. The most common among them is Apidra, Novomiks, Aktrapid, Humalog, Generaluline H, Protafan and Rayisodeg. All these drugs relate to short-acting insuls, suitable for treating diabetes 1 and 2 types and are convenient to use.

Storage rules

The drug should be stored in the refrigerator at a temperature of +2 ... +8 ° C. It is unacceptable to freeze the drug and expose direct sunlight. If necessary, it is possible to store the hormone at a temperature of +30 ° C, but in this case its shelf life is reduced to 4 weeks.

When using the drug, certain nuances should be taken into account.

  • Applying a syringe knob, remember that it can be lost or damaged, so you always have a spare system for injection.
  • The drug is most often recommended at the beginning of diagnosis of diabetes and are prescribed against the background of a long-acting insulin rate.
  • An analogue of the human hormone can cause a sharp glucose difference in children, so appoint new architect in the younger age with caution.
  • Translation from another insulin-containing drug to Novorature should be carried out under medical supervision.
  • Hormone is applied in direct connection with food intake. Therefore, it is important to take into account its rapid effect in the treatment of diabetics, which suffer from concomitant diseases or take drugs that slow down the tender.

Insulin Novorad is a soft and high-quality drug, effectively reduced blood glucose levels even with type 1 diabetes. Using the drug Against the background of prolonged insulin helps maintain the level of sugar after meals and allows for snacks in extracurricular time. However, incorrectly chosen dosage often causes hypoglycemia and negatively affects well-being. To avoid side effects, the reception of the drug should be coordinated with the doctor.

5 5 (1 ratings)

New generation Novorahid Penfill allows you to increase the level of insulin in the blood.

The tool is easily and quickly absorbed, is used regardless of the diet, refers to the ultra-current type of insulin.

Produced in the form of disposable handles and interchangeable cartridges for injection devices.

Letters from our readers

Topic: The grandmother normalized sugar in the blood!

From whom: Christina ( [Email Protected])

To: Administration Website

Christina
Moscow city

Diabetes my grandmother is sick for a long time (2 type), but recently there have been complications on the feet and internal organs.

Insulin aspart is the main component of the drug component, has a strong hypoglycemic effect. This is an analogue of short insulin, which is produced in the human body. Insulin aspart is manufactured using recombinant DNA technology.

The medicine interacts with the external cytoplasmic membranes of various amino acids, creates many insulin endings, stimulates intracellular processes.

After decreasing sugar concentration in the body, such changes occur:

  • intracellular transportation of trace elements;
  • fabric digestibility increases;
  • glycogenesis, lipogenesis.

It is possible to achieve a reduction in the production of glucose liver. Novorad is well absorbed with fatty tissue, but its duration is less than that of natural human insulin.

The preparation is activated 10-20 minutes after the injection, it acts 3-5 hours, the maximum hormone concentration is observed after 1-3 hours.

The systematic use of new architect reduces the likelihood of the appearance of hypoglycemia at night several times. There are cases of a significant decrease in postprandial hypoglycemia. The drug is recommended.

Indications for use


Hypoglycemic processes are developing rapidly, if diabetics has concomitant pathologies, medications that slow down the absorption of food are used. The need for drugs increases with accompanying disorders. The body does not need insulin if the patient has problems with internal organs.

After the transition of patients to other medicines, the symptoms of hypoglycemia change or become less pronounced. Doctors always monitor the patient's condition when switching to another type of hormone. When they change the medicine, adjust the dosage. Changing the number of drug users is required when using other foods, after termination or amplification physical Loads.

The dosage determines the endocrinologist individually for each patient, taking into account its needs. Novoatpide is rolled together with an average and long insulin at least 1 time per day. The amount of blood glucose, insulin overdose is regulated to find a suitable method of controlling glycemia. Children introduce 1.5 to 1 units. on kg weight. Changing the diet or lifestyle requires a dose adjustment.

New Arrows are administered before meals, the likelihood of night hypoglycemia is reduced.

Diabetics can enter the medicine independently, subcutaneous injections are made in the stomach, thigh, in the area of \u200b\u200bthe deltavid muscle. The injection site is changing so that lipodystrophy does not develop.

Drugs are used in PPIs, insulin pumps are used for infusion. In this situation, the injection is done in the front of the abdomen. In rare cases, Novorad is rolled up intravenously, only specialists with experience make such injections.

The impact of infusion of RDNA on the body sometimes worsens the condition of patients. Main side effect - Reducing the amount of glucose - hypoglycemia. The frequency of such a state of different groups Patients are different, determined by the dosage, quality of control.


At the first stages of the course of therapy, the refraction is occurring, pain, hyperemia, inflammation, itching occurs in the injection site. Such symptoms pass with time without treatment.

For effective treatment Diabetes at home experts advise Dialaife. This is a unique tool:

  • Normalizes blood glucose level
  • Regulates the pancreas function
  • Remove the swelling, regulates water exchange
  • Improves eyesight
  • Suitable for adults and children
  • No contraindications
There are all the necessary licenses and quality certificates both in Russia and in neighboring countries.

Preferential price for patients with diabetes!

Buy with a discount on the official website

Too fast glycemia correction provokes deterioration.

Other undesirable effects that are observed in diabetics occur in the form of various kinds of organs and systems work disorders:

  • immunity weakens;
  • the work of the nervous system is broken;
  • worsen vision;
  • edems at the injection site.

Hypoglycemia develops when an insulin is re-free, violating the course of therapy. The heavy form of disorder is dangerous for the life of diabetics. There are problems with the blood supply system, the work of the brain is broken, the likelihood of death is increasing.

Contraindications

Contraindications:

  • intolerance to the organism of the components of the drug;
  • do not allow children to 6 years.

Newordy doctors are not prescribed if patients identified allergic reactions to some drug components.

When traveling to places with different time zone, you need to find out the doctor how to use medicines. If a person stops making injections, hyperglycemia develops. Diabetics 1 type such a state occurs more often. Signs appear gradually, over time enhanced.

Nausea appears, vomit, drowsiness, skin dries up, the moistening of the mucous membrane is reduced, all the time I want to drink, poor appetite. . In suspected hyperglycemia, immediately spend therapy to save the life to the patient. Too intensive treatment changes symptoms, but hypoglycemia remains.

Disorder occurs when the dose of insulin is exceeded. The intensity depends not only on the amount of medication, but also on the consumption frequency, patient's body, the presence of aggravating factors.

Symptoms of hypoglycemia are developing consistently, complicated without controlling the amount of glucose. For easy form Diseases for treating patients are recommended to use more sugar or carbohydrate products, drink fruit juice or sweet tea.

Patients always need to carry candy or other sweets with them to normalize the level of sugar when self-election deterioration. In serious condition, patients lose consciousness, can help doctors or close people who know what to do.

In order for the condition of diabetics improved, glucagon intramuscularly or subcutaneously rolled it. If the medicine does not improve the condition, the patient does not come into consciousness, the dextrose solution is used, the injection is made intravenously.

Translation from another insulin

Transferring patients to another type of insulin or medicine from another manufacturer is performed under the supervision of doctors. When regulating the concentration of drugs, the method of their production and other features changes, the dose changes, increases the frequency of injections.

For the treatment of diabetes, pharmacologists invented a large number of different medicines. Insulin is the most effective drug when treating this disease. Like a set of medicines, it is divided into several pharmacological groups. Special efficiency has insulin new archite. There are various analogues of insulin "Novorad": "Flexpan", "Aspart".

Clinical picture

What do doctors talk about diabetes

Doctor medical Sciences, Professor Aronova S. M.

For many years I have learned the problem of diabetes. Scary when so many people die, and even more become disabled due to diabetes.

I hurry to inform good news - endocrinological scientific Center Ramne managed to develop a fully cured medicine diabetes. At the moment, the effectiveness of this drug is approaching 100%.

Another good news: the Ministry of Health has achieved adoption special Programwhich compensates for the entire cost of the drug. In Russia and the CIS countries diabetics before can get a tool IS FREE.

Learn more \u003e\u003e

Application of new architectural instructions

For proper adoption of the medicine, there is an instruction on the use of insulin "Novorad".

Composition and form of release

This type of drug is similar to the physiological analogue of insulin. Thanks to this, this drug is famous for its high quality. The basis of this medicinal means lies pharmacological preparation "Aspart". The medicine has two ways to use: by injection intravenously;

"NEWORPID" is not color, is a transparent liquid without impurities. This preparation is produced in the form of cartridges, from colorless glass.

Indications for use

It is assigned to people suffering from diabetes of varying degrees. Allowed to use from 2 years.

  • Age less than 2 years.

pharmachologic effect

"Novorad" interacts with cell membrane receptors, stimulating the production of physiological hormone.

During the use of this drug, it is possible to lower blood sugar, usually caused:

  • transportation and development of insulin in the patient's blood;
  • assimilation of the drug, tissues of the body;
  • reducing glucose production liver.

During the reception of any kinds of insulin, measure the level of glucose in the blood, in order to avoid a diabetic coma.

It is due to its actions, insulin of this type and have high efficiency.

The dose of the drug is prescribed individually to each patient. The average daily dose for aunt and adults is: 0.5-1 per kg of body weight. For the diagnosis and appointment of the drug, it is necessary to see a doctor. The specialist will deliver the correct diagnosis and prescribe drugs, taking into account your lifestyle.

be careful

According to WHO, 2 million people die from diabetes every year in the world from diabetes and caused complications. In the absence of qualified support of the body, diabetes leads to various kinds of complications, gradually destroying the human body.

Of the complications most often found: Diabetic Gangrena, Nephropathy, Retinopathy, trophic ulcers, hypoglycemia, ketoacidosis. Diabetes can lead to the development of cancer tumors. Almost in all cases, diabetics or dies, struggling with painful disease, or turns into a real disabled person.

What to do people with diabetes mellitus? Endocrinological Scientific Center Ramne managed make a tool Fully curable diabetes.

Currently, the federal program "Healthy Nation" is held, in which each resident of the Russian Federation and the CIS is issued IS FREE. Detailed information, look at official website Ministry of Health.

With some factors, the doctor can change the dosage:

  • an increase in physical activity;
  • others chronic diseaseswhich aggravate diabetes symptoms;
  • deterioration of the patient's condition;
  • reception of drugs, another pharmacotherapeutic group.

The drug is injected under the skin, with a special syringe. Medical staff can introduce insulin intravenously.

Use carefully

Any drug has certain readings at which it must be used carefully, or to exclude altogether:

  • each cartridge is used once. It is forbidden to re-use the open preparation. With a new injection, use a disposable sterile syringe;
  • do not use this medicinal tool if the solution climbed or acquired a shade;
  • with urgent insulin administration, use the U100 syringe.

Methods of application

"Novorad" is intended for subcutaneous administration. It is possible intravenous administration when the injection of a qualified specialist is injecting. For the introduction of insulin, the following places will be suitable:

  • abdominal cavity;
  • shoulder;
  • hip.

Enter insulin under the skin, in accordance with the technique that the doctor advised you.

Our readers write

Topic: Sugar diabetes won

From whom: Lyudmila C ( [Email Protected])

To: Administration My-diabet.ru


In 47, I was diagnosed with type 2 diabetes mellitus. For a few weeks I scored almost 15 kg. Constant fatigue, drowsiness, a sense of weakness, the beginning of the vision. When she broke 66 years old, I am already steadily keculously insulin, everything was very bad ...

And here is my story

The disease continued to develop, periodic attacks began, the ambulance literally returned me from the moment. All the time I thought that this time would be the last ...

Everything changed when the daughter gave me one article on the Internet. You can not imagine how much I am grateful for it. This article helped me completely get rid of diabetes, allegedly incurable disease. The last 2 years began to move more, in the spring and summer every day I go to the cottage, with my husband leading an active lifestyle, travel a lot. Everyone is surprised, as I do everything, where so much strength and energy, everyone will not believe that I am 66 years old.

Who wants to live a long, energetic life and forget about this terrible disease forever, get 5 minutes and read this article.

Go to Article \u003e\u003e\u003e

Storage

"Novorad" is stored, at a temperature of 2-8 degrees. It is better to put a medicine in the refrigerator, but avoid freezing. Exclude direct impact, sun rays and follow the storage date.

Insulin Aspart.

For insulin "Aspart", instructions for use individual. Observing it, you will avoid many problems associated with the admission of "Astarta".

Composition and form of release

Insulin of this type is a two-phase fluid consisting of an ASTAR soluble insulin by 30% and crystalline Astarta by 70%. "Aspart" is similar to human insulin, but has a short action. It has high adsorption, which allows you to quickly normalize, even critical condition of the patient.

Indications for use

  • Chronic diseases that accompany diabetes.
  • Sugar diabetes of the first and second degree.

Contraindications

  • Hypoglycemia.
  • Individual intolerance to the components of the drug.
  • Period of pregnancy and lactation.
  • Children's age less than 6 years.

pharmachologic effect

"Aspart" interacts with cell membrane receptors, improving its work. Adsides faster than physiological insulin, but has a short action.

The stories of our readers

Sugar diabetes of home. There was a month already, as I forgot about sugar jumps and insulin intake. Oh, how I used to suffer, constant fainting, challenges of ambulance ... how many times I went to endocrinologists, but only one thing is said there - "Take Insulin". And for 5 weeks, the blood sugar level in the blood is normal, not a single injection of insulin and all thanks to this article. Everyone who has sugar diabetes - be sure to read!

Read the article fully \u003e\u003e\u003e

Dosage and Proper Introduction

The dosage prescribes the attending physician, individually every patient. It is introduced under the skin in certain zones:

  • front abdominal wall;
  • shoulder;
  • the outer part of the hip.

Symptoms overdose

  • chills;
  • raising temperature;
  • tremor lower extremities;
  • fainting;
  • tachycardia;
  • increased nervousness;
  • hypoglycemia.

In the event of one or more similar symptoms, you need to consult a doctor or call ambulance. Uneximinary appeal to the doctor may lead to difficult consequences.

Storage method

Insulin Flexpen

Before accepting insulin "Flexpan", read the instructions.

Composition and form of release

"Flexpan" is insulin of long-term action, similar to human analogues. This gives an advantage among other types of this drug. Quickly adsorbed, improving cell operation. The body quickly gets used to the drug, during the use of "Flexpen" does not arise dependence.

This medication is: a transparent liquid with the lack of impurities. The following excipients include "Flexpen":

  • sodium chloride;
  • zinc acetate;
  • phenol;
  • glycerol.

Indications for use

  • Sugar diabetes, varying degrees.
  • Diseases associated with diabetes.

Contraindications

This medicinal product, has certain contraindications:

  • lactation and pregnancy;
  • individual intolerance to the components of the drug;
  • age up to 2 years.

Dosage and method of application

The dose appoints a doctor individually to each patient. When calculating the dosage, the following factors are taken into account:

  • the age of the patient;
  • the patient's condition at the time of the prescription of the drug;
  • the needs and lifestyle of the patient;
  • the adoption of other drug drugs.

"Flexpan" is introduced under the skin, a special insulin syringe. Also, the drug can be introduced intravenously, but to carry out the injection, must qualified medical personnel. In no case, do not enter the drug into muscle tissue.

The introduction of the drug is produced in certain places:

  • buttock cavity;
  • front abdominal wall;
  • hip;
  • shoulder.

Side effect

If the dose is exceeded, the following symptoms may occur:

  • feeling of fear;
  • tachycardia;
  • tremor limbs;
  • headache;
  • fainting.

This symptoms can manifest itself, not only in overdose, but also during the reception of other drugs, because they can increase the effect of insulin. Before starting the use of a new medicinal product, consult with a specialist.

Storage

Insulin "Flexpan" must be stored at 2-8 degrees. It is not recommended to enter direct sunlight. Drop used drug containers, open insulin reuse is prohibited. Follow the shelf life.

We draw conclusions

If you read these lines, you can conclude that you or your close patients with diabetes.

We conducted an investigation, studied a bunch of materials and most importantly checked most methods and drugs from diabetes. The verdict is:

All drugs were given, then only a temporary result, as soon as the reception stopped - the disease became sharply intensified.

The only drug that gave a significant result is distortion.

At the moment it is the only drug that is able to completely cure sugar diabetes. Diffort has shown a particularly strong effect on early stages Development of diabetes.

We requested the Ministry of Health:

And for readers of our site now has the opportunity
get Diffort. IS FREE!

Attention! Cases of sale of a fake drug Diffort.
Making the order on the links above, you are guaranteed to get a quality product from the official manufacturer. In addition, ordering on official websiteYou get a guarantee of return funds (including transportation costs), if the drug does not have therapeutic action.

 


Read:



Aries and Libra Love Relationships

Aries and Libra Love Relationships

Who does not want to find in life your perfect halves for family, love and be truly tied to each other. Scales and Aries - Perfect ...

Large Orthodox communities

Large Orthodox communities

The official history of the Russian Orthodox Church begins with 10 V. Next to the ideological substantiation of your power and new public ...

Fundamentals of the creed of Orthodoxy

Fundamentals of the creed of Orthodoxy

Wednesday, 18 Sep. 2013 Greco-Cafe Orthodox (Orthodox) Church (now ROC) began to be called Orthodox only from September 8, 1943 ...

Camping in Crimea Minich and Lassi

Camping in Crimea Minich and Lassi

Crimea. The history of entry into the Russian Empire Lassi, Petr Petrovich (1678-1751), - Count, Field Marshal-General Natives of Ireland. In 1700 switched ...

feed-Image. RSS.