Full instructions, dosage information and potential known side effects are all available in the leaflet that comes with the prescription product. If you require any advice or assistance with placing your order, please donâ€™t hesitate to contact our team.
How do I take/use this medicine?
Use Insulin Detemir exactly as directed by your doctor. Do not inject more or less Insulin Detemir than instructed by your doctor.
Measure each dose very carefully because even small changes in the amount of Insulin Detemir may have a large effect on your blood sugar levels.
Insulin Detemir should be injected subcutaneously (under the skin). Inject it at the same time every day as directed by your doctor.
Insulin Detemir must be injected regularly for it to work well. Do not stop using it unless instructed by your doctor. Your condition may worsen if Insulin Detemir is stopped suddenly.
How to inject Insulin Detemir:
1. Prepare your insulin dose as instructed by your doctor or nurse.
2. Select an area at least 1/2 inch away from your previous injection site.
3. Swab the injection area with alcohol.
4. Pinch the area and insert the needle. Push the plunger as far as it will go to deliver your dose.
5. Remove the needle and apply gentle pressure over the injection site. Do NOT rub the area.
6. Throw away the used needle as instructed by your doctor or nurse.
7. Use a new needle for each new injection.
If you are using a syringe instead of the injection pen, throw away the used syringe. Use a new syringe for each injection.
DO NOT inject Insulin Detemir intravenously (into a vein) or intramuscularly (into a muscle).
Do not use Insulin Detemir in an insulin pump.
Do not dilute or mix Insulin Detemir with any other types of insulin or medicines.
Do not share your insulin injection with anyone else.
What should I take note of while using/taking this medicine?
Alert your doctor if you have kidney, liver, thyroid, adrenal or pituitary gland disease.
Alert your doctor if you are pregnant or breastfeeding.
Alert your doctor if you regularly drink alcohol, especially if you drink a lot.
Do not change the brand or type of insulin you are using without first consulting your doctor.
When you are sick, for example with fever, infections, nausea or vomiting, your Insulin Detemir requirement may change. Even if you have no appetite and are not eating, you will still require Insulin Detemir. You should discuss with your doctor how to manage your Insulin Detemir during your sick days.
Exercise will also change your insulin requirement. Consult your doctor if you change your exercise routine or start on a new exercise program.
If you are going for an operation, including minor operations and dental work, inform your doctor or dentist that you are using Insulin Detemir.
If you are travelling, discuss with your doctor how to adjust your injection schedule. Carry your insulin in your hand-carry luggage. Do not put insulin in your check-in luggage as it may freeze.
For as long as you are using Insulin Detemir, you will need to have regular blood tests to make sure that your sugar level is under control. Your doctor will advise you about how often you need to have these blood tests.
When should I not use this medicine?
Insulin Detemir may not be suitable for you if you have hypoglycaemia (low blood sugar).
Are there any restrictions on the type of food I can take?
Why do I need this medicine?
Insulin Detemir is used to treat diabetes.
Diabetes is a condition where your body is unable to produce enough insulin to control your blood sugar levels.
Insulin Detemir is meant to be used as part of a complete diabetes management programme that should include exercise, a healthy diet, weight control, foot care, eye care, dental care and regular monitoring of blood sugar.
What side effects could I experience?
The side effects of Insulin Detemir are usually due to blood sugar levels that are either too high or too low. You should be familiar with the symptoms of both high and low blood sugar levels and know how to manage both conditions.
The symptoms of hyperglycaemia (high blood sugar) are thirst, increased urination, confusion, drowsiness, flushing, rapid breathing and a fruity breath odour. Inform your doctor immediately if you experience any of these symptoms.
The symptoms of hypoglycaemia (low blood sugar) are nausea, vomiting, dizziness, headache, shaky hands, palpitations, sweating, feeling hungry, weak, confused, irritable or problems speaking. These symptoms are your body's way of warning you that your blood sugar is dangerously low. You should take a drink or food containing sugar (for example, fruit juice, soft drinks, sweets) at the first sign of hypoglycaemia. If your symptoms do not improve, get medical help. Always carry some glucose tablets (also known as dextrose tablets) with you at all times. As hypoglycaemia may also affect your ability to concentrate and react, you should be careful when driving or when you use machinery.
At the start of treatment, you may experience redness, swelling and itching at the injection site. These side effects usually resolve with time. Alert your doctor if the symptoms become severe or refuse to go away.
Sometimes you may also experience thickening and sinking of the skin around the injection area. This can usually be minimised by rotating the injection site.
Always inform your family and close friends that you have diabetes so that they know how to help you in an emergency.
How should I store this medicine?
If you have not yet opened it, store Insulin Detemir in a refrigerator between 2 to 8 degrees Celsius.
Once opened, Insulin Detemir may be stored at room temperature (below 30 degree Celsius) away from direct sunlight. It will expire 42 days after opening. Throw away any remaining injection solution, even if the Vial or Injection Pen is not empty.
Do NOT freeze Insulin Detemir. Once frozen, it should not be used. It must be thrown away.
Do not use Insulin Detemir if it has changed colour, become cloudy or if you see particles floating in the solution. Insulin Detemir should be clear and colourless. It should not have any lumps or particles.
Keep all medicines away from the reach of children.
Medicines must not be used past the expiry date.
Can I take/use this with other medicines?
Alert your doctor if you are taking any other medicines, especially those listed here:
- oral anti-diabetic medicines
- heart or high blood pressure medicines such as propranolol, enalapril, captopril
- cholesterol medicines such as clofibrate, gemfibrozil, nicotinic acid
- birth control pills
- antibiotics such as sulphamethoxazole, ciprofloxacin, ofloxacin
- TB medicines such as isoniazid
- water retention pills (also known as diuretics or "water pills") such as frusemide, hydrochlorothiazide
- thyroid medicines
- oral or inhaled steroids
- asthma medicines such as salbutamol (albuterol), terbutaline
- antidepressants known as MAOI inhibitors such as isocarboxazid, phenelzine, moclobemide, selegiline and tranylcypromine
- other medicines such as danazol, growth hormones, octreotide, lanreotide, somatropin
Always inform your doctor or pharmacist if you are taking any other medicines, including herbal tonics, supplements and medicines that you buy without a prescription.