![]() Common side effects may include serious allergic reactions (whole body reactions), reactions at the injection site, skin thickening or pits at the injection site (lipodystrophy), itching, rash, swelling of your hands and feet, and weight gain.Your insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness. Tell your health care provider if you have any new or worse symptoms of heart failure including shortness of breath, tiredness, swelling of your ankles or feet, and sudden weight gain If you already have heart failure, it may get worse while you take TZDs with Tresiba ®. This can happen even if you have never had heart failure or heart problems. Heart failure in some people if taken with thiazolidinediones (TZDs).Low potassium in your blood (hypokalemia).Low blood sugar (hypoglycemia). Signs and symptoms that may indicate low blood sugar include dizziness, light-headedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heart beat, anxiety, irritability, mood changes, and hunger.Tresiba ® may cause serious side effects that can be life-threatening, including: Do not inject where the skin is tender, bruised, scaly or hard, or into scars or damaged skin.Do not inject where the skin has pits, is thickened, or has lumps.Do not use the exact same spot for each injection.Change (rotate) your injection sites within the area you choose with each injection to reduce your risk of getting lipodystrophy (pits in skin or thickened skin) and localized cutaneous amyloidosis (skin with lumps) at the injection sites.Tresiba ® can be injected under the skin (subcutaneously) of your upper legs (thighs), upper arms, or stomach area (abdomen).Never use a syringe to remove Tresiba ® from the FlexTouch ® pen.Never inject Tresiba ® into a vein or muscle.You may give them a serious infection, or get a serious infection from them Do not reuse or share your needles or syringes with other people.Ask your health care provider what your blood sugar levels should be and when you should check them For children who need less than 5 units of Tresiba ® each day, use a Tresiba ® U-100 vial.Call the healthcare provider for information and instructions about checking blood sugar levels more often until the next scheduled dose of Tresiba ®.Make sure there are at least 8 hours between doses.Take your dose as soon as you remember, then continue with your regular dosing schedule.Adults - If you miss or are delayed in taking your dose of Tresiba ®:.Do not change the type of insulin you take unless your health care provider tells you to Know the type and strength of insulin you take.The dose counter always shows the selected dose in units Do not do any conversion of your dose.Read the Instructions for Use and take Tresiba ® exactly as your health care provider tells you to.
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