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When using the InPen system with NovoLog or Fiasp insulin cartridges, it's important to be aware of certain risks to ensure safe and effective diabetes management.

Device Compatibility and Selection

The InPen is designed to work specifically with certain insulin cartridges. Using an incompatible pen with your insulin cartridge can lead to incorrect dosing. For example, there are different InPen models for NovoLog/Fiasp and Humalog cartridges, and they are not interchangeable due to size differences. Always verify that your InPen model matches your prescribed insulin cartridge to prevent dosing errors.

Pediatric Use Considerations

For children using the InPen system, there are specific risks to consider. Younger children might accidentally play with the pen or app, leading to unintended insulin delivery or incorrect dose logging. It's crucial for caregivers and healthcare providers to assess whether the InPen system is appropriate for the child and to provide proper supervision during its use.

Injection Site Management

Repeated injections into the same area can cause skin issues like lipodystrophy (abnormal fat distribution) or localized cutaneous amyloidosis (skin lumps). These conditions can affect insulin absorption, potentially leading to unpredictable blood sugar levels. To minimize this risk, rotate injection sites within the recommended areas and avoid injecting into affected skin regions.

Hypoglycemia Risk

Hypoglycemia, or low blood sugar, is a common risk associated with insulin therapy. Factors such as changes in meal patterns, physical activity, or insulin regimen can increase this risk. It's essential to monitor blood glucose levels regularly and be aware of the symptoms of hypoglycemia to manage it promptly.

Insulin Pump Malfunctions

If you're using Fiasp with an insulin pump, be aware that pump or infusion set malfunctions can lead to rapid onset of hyperglycemia (high blood sugar) and ketoacidosis, a serious condition. Promptly identify and correct the cause of hyperglycemia or ketosis, and have an alternative insulin delivery method available in case of pump failure.

Storage and Handling

Proper storage of insulin is vital to maintain its effectiveness. Unopened Fiasp vials, FlexTouch pens, or PenFill cartridges should be refrigerated. Once opened, they can be kept at room temperature for up to 28 days. Avoid freezing insulin or exposing it to excessive heat or light, as this can degrade its potency.

By understanding and managing these risks, you can use the InPen system with NovoLog or Fiasp insulin more safely and effectively. Always consult with your healthcare provider for personalized advice and guidance.