ALWAYS CHECK THE APPEARANCE OF YOUR BOTTLE OF INSULIN. If you notice anything unusual or if you see solid particles or clumps, discard the bottle and begin using a new bottle of insulin. FOLLOW THE DIETARY PLAN provided by your doctor. KEEP ALL APPOINTMENTS WITH YOUR DOCTOR and complete all laboratory tests. CARRY IDENTIFICATION at all times that states you have diabetes and use insulin. INJECT EACH DOSE OF INSULIN in a different area to prevent skin irritation. AN INSULIN REACTION resulting from too low a blood sugar may occur if you take too much insulin, skip a meal, or exercise too much. If you experience the symptoms of an insulin reaction including sudden onset of a cold sweat, dizziness, fatigue, shakiness, rapid heartbeat, nausea, vision changes, or personality change or confusion, immediately drink or eat a sugar-containing product. If this does not help, contact your doctor immediately. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. DO NOT DRINK ALCOHOL without discussing with your doctor. Possible Side Effects: CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience signs of low or high blood sugar. Signs of low blood sugar include sudden onset of a cold sweat, dizziness, fatigue, shakiness, rapid heartbeat, nausea, vision changes, or personality change or confusion. IF LOSS OF CONSCIOUSNESS OCCURS, obtain emergency medical care immediately. Signs of high blood sugar include gradual onset of drowsiness, flushed face, thirst, loss of appetite, or increased urination. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.