Some medications may affect your blood sugar levels or hide the symptoms of low blood sugar (hypoglycemia). Talk with your care team about all of the medications you take. They may suggest changes to your insulin dose or checking your blood sugar levels more often.
Medications that may affect your blood sugar levels include:
-Alcohol
-Certain antibiotics, such as ciprofloxacin, levofloxacin, sulfamethoxazole; trimethoprim
-Certain medications for blood pressure or heart disease, such as benazepril, enalapril, lisinopril, losartan, valsartan
-Certain medications for mental health conditions, such as fluoxetine or olanzapine
-Diuretics, such as hydrochlorothiazide (HCTZ)
-Estrogen and progestin hormones
-Other medications for diabetes
-Steroid medications, such as prednisone or cortisone
-Testosterone
-Thyroid hormones
Medications that may mask symptoms of low blood sugar include:
-Beta blockers, such as atenolol, metoprolol, propranolol
-Clonidine
-Guanethidine
-Reserpine

They need to know if you have any of these conditions:
-Episodes of low blood sugar
-Eye disease, vision problems
-Kidney disease
-Liver disease
-An unusual or allergic reaction to insulin, metacresol, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress.
Your care team will monitor your hemoglobin A1C. This is a simple blood test. It measures your average blood sugar level over the past 3 months. It will help you and your care team manage your diabetes.
Learn how to check your blood sugar levels. Know the symptoms of low and high blood sugar and how to manage them.
Always carry a source of quick sugar with you for symptoms of low blood sugar. Examples include glucose tablets, juice, or sugar candy. Teach your family members, friends, and others how to help you if your blood sugar is too low and you are not awake enough to treat it.
Talk to your care team if you have high blood sugar. You may need to adjust your insulin dose. Many factors can cause high blood sugar, including illness, stress, or a change in activity.
Do not skip meals. Ask your care team if you should avoid alcohol. Many cough and cold products contain sugar or alcohol. These can affect blood sugar levels.
Make sure that you have the correct syringe for the type of insulin you use. Do not change the brand or type of insulin or syringe unless your care team tells you to. Switching insulin brand or type can affect your blood sugar enough to cause serious adverse effects.
Always keep an extra supply of insulin and related supplies on hand. Only use syringes once. Get rid of syringes and needles in a closed container to prevent accidental needle sticks.
Do not share insulin pens or cartridges with anyone, even if the needle is changed. Each pen should only be used by one person. Sharing could cause an infection.
Do not use a syringe to take insulin out of an insulin pen. Doing this may result in the wrong dose of insulin.
Wear a medical ID bracelet or chain. Carry a card that describes your condition. List the medications and doses you take on the card.

Keep out of the reach of children and pets.
Storage and expiration dates for different insulin products may vary. Check the label for information on how to store your insulin. Talk to your care team if you have any questions.
Do not freeze. Protect from direct light and heat. Do not use insulin if it is exposed to temperatures above 37 degrees C (98.6 degrees F). Do not use insulin if it has been frozen.
Fiasp multi-dose vials, Novolog multiple-dose vials, or Fiasp FlexTouch pen

-Unopened (not in-use): Store at room temperature up to 30 degrees C (86 degrees F) for up to 28 days, or refrigerated until the expiration date.

-Opened (in-use): Store at room temperature or refrigerated for up to 28 days.
Fiasp PenFill cartridges, Novolog PenFill cartridges, Novolog FlexPen, or Novolog FlexTouch

-Unopened (not in-use): Store at room temperature up to 30 degrees C (86 degrees F) for up to 28 days, or refrigerated until the expiration date.

-Opened (in-use): Store at room temperature for up to 28 days. Do not refrigerate.
Fiasp PumpCart cartridges
-Unopened (not in-use): Store at room temperature up to 30 degrees C (86 degrees F) for up to 18 days (including 4 days in the pump), or refrigerated until the expiration date.

-Opened (in-use): Store at room temperature for up to 4 days. Do not refrigerate.
Insulin Pump Users
Change the insulin in your pump reservoir as directed by the pump user manual or the insulin label, whichever is first.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.