qanastek/EMEA-V3 huggingface dataset:
You may recover more quickly from unconsciousness with an injection of the hormone glucagon by someone who knows how to use it.
Jekk tintilef minn sensik tista ’ tirkupra aktar malajr b’ injezzjoni ta ’ l- ormon glucagon mog ti minn xi add li jaf kif ju ah.
If you are given glucagon you will need glucose or a sugary snack as soon as you are conscious.
Jekk ting ata glucagon, ser ikollok b onn il- glukosju jew ikla afifa li jkun fiha z- zokkor malli ter a ’ ti i f’ sensik.
If you do not respond to glucagon treatment, you will have to be treated in a hospital.
Jekk ma tirrispondix g all- kura bi glucagon, ser ikollok b onn ta ’ kura fi sptar.
Seek medical advice after an injection of glucagon; you need to find the reason for your hypo to avoid getting more.
Fittex parir mediku wara injezzjoni ta ’ glucagon; ikollok b onn issib ir- ra uni g all- ipo tieg ek biex tevita li jkollok aktar minnhom.
Causes of a hypo
Il- kaw i ta' ipo
This might happen: • If you take too much insulin • If you eat too little or miss a meal • If you exercise more than usual.
Ikollok ipo jekk il- livell taz- zokkor fid- demm tieg ek jitbaxxa • Jekk tie u wisq insulina • Jekk tiekol ftit wisq jew taqbe xi ikla • Jekk tag mel aktar e ercizzju mis- soltu.
If your blood sugar gets too high
Jekk il- livell taz- zokkor fid- demm tieg ek jitla ’ ejjed
Your blood sugar may get too high (this is called hyperglycaemia).
Il- livell taz- zokkor fid- demm tieg ek jista 'jitla ’ ejjed (din tissejja ipergli emija).
They include: increased urination; feeling thirsty; losing your appetite; feeling sick (nausea or vomiting); feeling drowsy or tired; flushed, dry skin; dry mouth and a fruity (acetone) smell of the breath.
Dawn jinkludu: tag mel l- awrina aktar ta 'spiss; t ossok bil- g atx; titlef l- aptit; t ossok imqalla ’ (nawsja jew rimettar); t ossok im eddel/ im edla jew g ajjien/ a; mura u ilda xotta; alq xott u nifs li jkollu ri a ta ’ frott (acetone).
If you get any of these signs. test your blood sugar level and test your urine for ketones if you can.
Jekk ikollok xi wie ed minn dawn is- sinjali: i ekkja l- livell taz- zokkor fid- demm tieg ek u jekk tista ’, i ekkja l- awrina tieg ek g all- ketoni.
Then seek medical advice straight away.
Imbag ad fittex parir mediku immedjatament.
These may be signs of a very serious condition called diabetic ketoacidosis.
Dawn jistg u jkunu sinjali ta ’ kundizzjoni serja afna li tissejja ketoa idosi.
If you don’ t treat it, this could lead to diabetic coma and death.
Jekk ma tikkurahiex, din tista ’ twassal g al koma dijabetika u g al mewt.
Causes of hyperglycaemia
Il- kaw i ta ’ ipergli emija
• Having forgotten to take your insulin • Repeatedly taking less insulin than you need • An infection or a fever • Eating more than usual • Less exercise than usual.
• Tkun insejt tie u l- insulina tieg ek • Li ripetutament tie u anqas insulina milli g andek b onn • Ikollok infezzjoni jew deni • Tiekol aktar mis- soltu • Tag mel e er izzju fi iku anqas mis- soltu.
Like all medicines, Insulatard can cause side effects, although not everybody gets them.
B al kull medi ina o ra, Insulatard jista ’ jkollu effetti sekondarji, g alkemm ma jidhrux fuq kul add.
Insulatard may cause hypoglycaemia (low blood sugar).
Insulatard jista 'jikkaw a l- ipogli emija (livell baxx ta' zokkor fid- demm).
See the advice in 4 What to do in an emergency.
Ara l- pariri f’ 4 X’ g andek tag mel f’ emer enza.
Side effects reported uncommonly (in less than 1 patient in 100)
Effetti sekondarji rrappurtati b 'mod mhux komuni (f’ inqas minn pazjent 1 minn kull 100)
If you inject yourself too often at the same site, fatty tissue under the skin at this site may shrink (lipoatrophy) or thicken (lipohypertrophy).
Jekk tinjetta lilek innifsek ta ’ spiss wisq fl - istess sit, it- tessut tax- xa am ta t il - ilda f’ dan is- sit jista ’ jinxtorob (lipoatrofija) jew je xien (lipoipertrofija).
Changing the site with each injection may help to prevent such skin changes.
Li tibdel is- sit ma ’ kull injezzjoni jista ’ jg in biex ji i evitat dan il- kambjament fil - ilda.
If you notice your skin pitting or thickening at the injection site, tell your doctor or diabetes nurse because these reactions can become more severe, or they may change the absorption of your insulin if you inject in such a site.
Jekk tinnota li- fis- sit ta ’ l- injezzjoni l - ilda qieg da tit affer jew qieg da te xien, g id lit- tabib tieg ek jew lill- infermier/ a tad- dijabete, g ax dawn ir- reazzjonijiet jistg u jsiru aktar serji, jew jekk l - injezzjoni ssir f’ sit b al dan jistg u jbiddlu l- assorbiment ta ’ l- insulina tieg ek.
Signs of allergy.
82 Sinjali ta ’ aller ija.
Reactions (redness, swelling, itching) at the injection site may occur (local allergic reactions).
Jistg u jse u reazzjonijiet (mura, nef a, akk) fis- sit ta ’ l- injezzjoni (reazzjonijiet aller i i lokali).
These reactions usually disappear after a few weeks of taking your insulin.
Dawn normalment imorru wa idhom wara ftit img at li tkun bdejt tie u l- insulina.
If they do not disappear, see your doctor.
Jekk ma jmorrux, kellem lit- tabib tieg ek.
Seek medical advice immediately: • if signs of allergy spread to other parts of the body, or • if you suddenly feel unwell and you start sweating; start being sick (vomiting); have difficulty in breathing; have a rapid heart beat; feel dizzy; feel like fainting.
Fittex parir mediku immedjatament: • jekk is- sinjali ta ’ l- aller ija jinfirxu g al partijiet o ra ta ’ ismek, jew • jekk f’ daqqa wa da ma t ossokx tajjeb/ tajba u: tibda teg req; tibda t ossok imdardar/ imdardra (tirremetti); ikollok diffikultà biex tie u n- nifs; ikollok ta bit mg a el tal- qalb; t ossok stordut/ a; t ossok li ej xi ass a in.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
Inti jista ’ jkollok reazzjoni aller ika serja rari afna g al Insulatard jew g al xi wie ed mill - ingredjenti tieg u (imsej a reazzjoni aller ika sistemika).
See also warning in 2 Before you use Insulatard.
Ara wkoll it- twissija f' 2 Qabel ma tu a Insulatard.
Diabetic retinopathy (eye background changes).
Retinopatija dijabetika (tibdil fuq in- na a ta ’ ewwa ta ’ l- g ajn).
If you have diabetic retinopathy and your blood glucose levels improve very fast, the retinopathy may get worse.
Jekk g andek retinopatija dijabetika u l- livelli tal- glukosju fid- demm tieg ek jitjiebu b’ mod malajr afna, ir- retinopatija tista ’ tmur g all- ag ar.
Ask your doctor about this.
Staqsi lit- tabib tieg ek dwar dan.
Swollen joints.
ogi minfu in.
When you start taking insulin, water retention may cause swelling around your ankles and other joints.
Meta tibda tie u l- insulina, i - amma ta 'l- ilma fil - isem tista' tikkaw a nef a madwar l- g ekiesi u ogi o rajn.
Side effects reported very rarely (in less than 1 patient in 10,000)
Effetti sekondarji rrappurtati b 'mod rari afna (f’ inqas minn pazjent 1 minn kull 10, 000)
78 Vision problems.
Problemi tal- vista.
When you first start your insulin treatment, it may disturb your vision, but the reaction usually disappears.
G all- ewwel li tibda l- kura bl- insulina, din tista ’ tikkaw alek problemi fil- vista i da din ir- reazzjoni normalment tg addi wa idha.
Painful neuropathy (nerve related pain).
Newropatija bl- u ig (u ig li ej min- nervaturi).
If your blood glucose levels improve very fast it may cause a burning, tingling or electric pain.
Jekk il- livelli tal- glukosju fid- demm tieg ek jitjiebu b’ mod malajr afna, dan jista ’ jikkaw a ruq, tnemnim jew u ig qisu ta ’ xokk elettriku.
This is called acute painful neuropathy and it usually disappears.
Din il- kundizzjoni hi msej a newropatija akuta bl- u ig, u normalment tmur wa idha.
If it does not disappear, see your doctor.
Jekk tibqa ’ hemm kellem lit- tabib tieg ek.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, diabetes nurse or pharmacist.
Jekk xi wie ed mill- effetti sekondarji jiggrava, jew jekk tinnota xi effetti sekondarji li m’ humiex imsemmijin f’ dan il- fuljett, jekk jog bok g id lit- tabib, lill- infermier/ a tad- dijabete jew lill- ispi jar tieg ek.
HOW TO STORE INSULATARD
EN INSULATARD
Keep out of the reach and sight of children.
omm fejn ma jintla aqx u ma jidhirx mit- tfal.
Do not use Insulatard after the expiry date which is stated on the label and the carton.
Tu ax Insulatard wara d- data ta ’ skadenza li tidher fuq it- tikketta u fuq il- kartuna.
The expiry date refers to the last day of that month.
Id- data ta ’ skadenza tirreferi g all- a ar urnata ta 'dak ix- xahar.
Keep the vials in the original package.
Il- kunjetti li ma jkunux qed jintu aw g andhom jin a nu fi fri (2°C - 8°C) Ta inhomx fil- fri a jew qrib afna tal- kompartiment tal- fri a jew ta ’ l- element li jkessa, Tag milhomx fil- fri a. omm il- kunjetti fil- pakkett ori inali.
The vials that are being used or about to be used are not to be kept in a refrigerator.
Il- kunjetti li jkunu qed jintu aw jew li waslu biex jintu aw, m' g andhomx jin ammu fil- fri.
After removing the vial from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
Huwa rakkomandat li wara li tkun ri t il- kunjett mill- fri, t allih jil aq it- temperatura tal- kamra qabel ma l- insulina ter a ’ ti i mag mula f’ suspensjoni skond kif hemm fl- istruzzjonijiet g all- ewwel u u.
See 3 How to use Insulatard.
Ara 3 Kif tu a Insulatard.
You can carry them with you and keep them at room temperature (not above 25°C) for up to 4 weeks.
Tista ’ orrhom mieg ek u ommhom fit- temperatura tal- kamra (mhux aktar minn 25°C) sa perjodu ta ’ 4 gimg at.
Always keep the vial in the outer carton when you’ re not using it in order to protect it from light.
Dejjem omm il- kunjett fil- kartuna ta ’ barra meta ma tkunx qed tu ah sabiex tilqa 'mid- dawl.
Insulatard must be protected from excessive heat and sunlight.
Insulatard g andu jkun protett minn s ana e essiva u mid- dawl tax- xemx.
Insulatard should not be disposed of via wastewater or household waste.
83 Insulatard m’ g andux jintrema ma ’ l- ilma tad- drana jew ma ’ l- iskart domestiku.
Ask your pharmacist how to dispose of medicines no longer required.
Staqsi lill- ispi jar dwar kif g andek tarmi medi ini li m’ g andekx b onn.
These measures will help to protect the environment.
Dawn il- mi uri jg inu g al protezzjoni ta ’ l - ambjent.
FURTHER INFORMATION
AKTAR TAG RIF
What Insulatard contains
X’ fih Insulatard
– The active substance is insulin human made by recombinant biotechnology.
– Is- sustanza attiva hi insulina umana mag mula minn bijoteknolo ija rikombinanti.
1 ml contains 40 IU of insulin human.
Insulatard huwa suspensjoni ta ’ insulina isophane (NPH) Millilitru fih 40 UI ta ’ insulina umana.
1 vial contains 10 ml equivalent to 400 IU
Kunjett fih 10 ml, ekwivalenti g al 400 UI.
– The other ingredients are zinc chloride, glycerol, metacresol, phenol, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, protamine sulphate and water for injections.
– Is- sustanzi l- o ra huma zinc chloride, glycerol, metacresol, phenol, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, protamine sulphate u ilma g all- injezzjonijiet.
What Insulatard looks like and contents of the pack
Id- Dehra ta ’ Insulatard u l- kontenuti tal- pakkett:
The suspension for injection comes as a cloudy, white, aqueous suspension.
Is- suspensjoni g all- injezzjoni ti i b ala suspensjoni akweja, bajda u opaka.
Not all packs may be marketed.
Mhux il- pakketti kollha jistg u jkunu g al skop kummer jali.
Marketing Authorisation Holder and Manufacturer
Id- Detentur ta ’ l- Awtorizzazzjoni g at- tqeg id fis- Suq u l- Manifattur
This leaflet was last approved in 79 80 PACKAGE LEAFLET:
Dan il- fuljett kien approvat l- a
Insulatard 100 IU/ ml suspension for injection in a vial Insulin human (rDNA)
Insulatard 100 UI/ ml suspensjoni g all- injezzjoni f 'kunjett Insulina umana (rDNA)
Look out for the signs of allergy in 5 Possible side effects ► If you feel a hypo coming on (a hypo is short for a hypoglycaemic reaction and is asymptom of low blood sugar).
Oqg od attent g as - sinjali ta ’ l- aller ija f' 5 Effetti sekondarji li jista ’ jkollu Jekk t oss li ejja ipo (ipo hi taqsira ta ’ reazzjoni ipogli emika u hija abra ta ’ sintomi li jindikaw livell baxx ta 'zokkor fid- demm).
Your need for insulin may change if you also take: oral antidiabetic products; monoamine oxidase inhibitors (MAOI); beta-blockers; ACE-inhibitors; acetylsalicylic acid; anabolic steroids; sulphonamides; oral contraceptives; thiazides; glucocorticoids; thyroid hormone therapy; beta- sympathomimetics; growth hormone; danazol; octreotide or lanreotide.
Il - tie a tieg ek g all- insulina tista ’ tinbidel jekk inti tie u wkoll: prodotti medi inali kontra d - dijabete li jittie du mill - alq; inibituri ta ’ monamine oxidase (MAOI); beta- blokkanti; inibituri ta ’ l - enzima li tikkonverti l- an jotensin (ACE- inhibitors); acetylsalicylic acid; sterojdi anaboli i;
If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
Jekk inti tqila, qed tippjana li to ro tqila, jew qed tredda ’: jekk jog bok ikkuntattja lit- tabib tieg ek g al parir.
81 Driving and using machines
Sewqan u t addim ta ’ magni
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms.
L- a jar postijiet minn fejn tinjetta lilek innifsek huma: in- na a ta ’ quddiem ta ’ qaddek (i - aqq); il- warrani; in- na a ta ’ quddiem tal- koxox jew in- na a ta ’ fuq ta ’ dirg ajk.
Turn the vial and syringe upside down 5.
Imbag ad dawwar il- kunjett u s- siringa ta ’ ta t fuq 86 5.
To mix Insulatard with fast-acting insulin
Biex t allat Insulatard ma ’ insulina li ta dem b’ mod malajr
Do this until the liquid is uniformly white and cloudy.
Ag mel dan sakemm il- likwidu jkun abjad u opak b’ mod uniformi.
Resuspending is easier if the insulin has reached room temperature 82 2.
Ikun iktar fa li li tifforma suspensjoni mill - did jekk l- insulina tkun la qet it - temperatura tal- kamra 2.
Draw as much air into the syringe as the dose of Insulatard you need.
I bed ammont ta 'arja os- siringa daqs id- do a ta' Insulatard li te tie.
Inject the air into the Insulatard vial, then pull out the needle 3.
Injetta l- arja ol- kunjett ta 'Insulatard, imbag ad i bed il- labra' l barra 3.
Make sure there is no air left in the syringe: point the needle upwards and push the air out.
I bed id- do a korretta ta 'l- insulina li ta dem malajr os- siringa I bed il- labra ’ l barra mill - kunjett A erta ru ek li ma jkunx baqa' arja fis- siringa: ipponta l- labra ’ l fuq u imbotta l- arja ’ l barra.
Check the dose 5.
I ekkja d- do a 5.
Make sure there is no air left in the syringe, and check the dose 7.
I bed il- labra ’ l barra mill- kunjett A erta ru ek li ma jibqax arja fis- siringa, u i ekkja d- do a 7.
They must not give you any food or drink as it could choke you. ► If severe hypoglycaemia is not treated, it can cause brain damage (temporary or permanent) and even death ► If you have a hypo that makes you pass out, or a lot of hypos, talk to your doctor.
87 Jekk ikollok ipo li ieg lek tintilef minn sensik, jew afna ipos, kellem lit- tabib tieg ek.
This might happen: • If you take too much insulin • If you eat too little or miss a meal 83 • If you exercise more than usual.
Ikollok ipo jekk il- livell taz- zokkor fid- demm tieg ek jitbaxxa • Jekk tie u wisq insulina • Jekk tiekol ftit wisq jew taqbe xi ikla • Jekk tag mel aktar e ercizzju mis- soltu.
Signs of allergy.
88 Sinjali ta ’ aller ija.
If you have diabetic retinopathy and your blood glucose levels improve very fast, the retinopathy may get worse.
Jekk g andek retinopatija dijabetika u l- livelli ta ’ glukosju fid- demm tieg ek jitjiebu b’ mod malajr afna, ir- retinopatija tista ’ tmur g all- ag ar.
84 Painful neuropathy (nerve related pain).
Newropatija bl- u ig (u ig li ej min- nervaturi).
If your blood glucose levels improve very fast it may cause a burning, tingling or electric pain.
Jekk il- livelli ta ’ glukosju fid- demm tieg ek jitjiebu b’ mod malajr afna, dan jista ’ jikkaw a ruq, tnemnim jew u ig qisu ta ’ xokk elettriku.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, diabetes nurse or pharmacist.
Jekk xi wie ed mill- effetti sekondarji jiggrava, jew jekk tinnota xi effetti sekondarji li mhumiex imsemmijin f’ dan il- fuljett, jekk jog bok g id lit- tabib, lill- infermier/ a tad- dijabete jew lill- ispi jar tieg ek.
Keep the vials in the original package.
Il- kunjetti li ma jkunux qed jintu aw g andhom jin a nu fi fri (2°C - 8°C) Ta inhomx fil- fri a jew qrib afna tal- kompartiment tal- fri a jew ta ’ l- element li jkessa Tag milhomx fil- fri a omm il- kunjetti fil- pakkett ori inali..
You can carry them with you and keep them at room temperature (not above 25°C) for up to 6 weeks.
Tista ’ orrhom mieg ek u ommhom fit- temperatura tal- kamra (mhux aktar minn 25°C) sa perijodu ta ’ 6 gimg at.
Insulatard should not be disposed of via wastewater or household waste.
89 Insulatard m’ g andux jintrema ma ’ l- ilma tad- drana jew ma ’ l- iskart domestiku.
1 ml contains 100 IU of insulin human.
Insulatard huwa suspensjoni ta ’ insulina isophane (NPH) Millilitru fih 100 UI ta ’ insulina umana.
1 vial contains 10 ml equivalent to 1000 IU
Kunjett fih 10 ml, ekwivalenti g al 1000 UI
Not all packs may be marketed.
Mhux il- pakketti kollha jistg u jkunu g al skop kummer jali).
This leaflet was last approved in
Dan il- fuljett kien approvat l- a
85 PACKAGE LEAFLET:
90 FULJETT TA' TAG RIF:
INFORMATION FOR THE USER
INFORMAZZJONI G AL MIN QED JAG MEL U U MINNHA
Your need for insulin may change if you also take: oral antidiabetic products; monoamine oxidase inhibitors (MAOI); beta-blockers; ACE-inhibitors; acetylsalicylic acid; anabolic steroids; sulphonamides; oral contraceptives; thiazides; glucocorticoids; thyroid hormone therapy; beta- sympathomimetics; growth hormone; danazol; octreotide or lanreotide.
Il - tie a tieg ek g all- insulina tista ’ tinbidel jekk inti tie u wkoll: prodotti medi inali kontra d - dijabete li jittie du mill - alq; inibituri ta ’ monamine oxidase (MAOI); beta- blokkanti; inibituri ta ’ l - enzima li tikkonverti l- an jotensin (ACE- inhibitors); acetylsalicylic acid; sterojdi anaboli i; 91 sulfonamidi; kontra ettivi orali; tija idi; glukokortikojdi; terapija bl- ormoni tat- tirojde; beta - simpatomimeti i, ormon tat- tikbir danazol; octreotide jew lanreotide.
Pregnancy and breast-feeding If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
Tqala u treddig Jekk inti tqila, qed tippjana li to ro tqila, jew qed tredda ’: jekk jog bok ikkuntattja lit- tabib tieg ek g al parir.
86 Driving and using machines
Sewqan u t addim ta ’ magni
It is recommended that you measure your blood glucose regularly.
Hu rakkomandat li ti ekkja l- livell tal- glukosju fid- demm tieg ek regolarment.
► Check the label to make sure it is the right type of insulin ► Always check the cartridge, including the rubber plunger (stopper).
Dejjem i ekkja l- iskarto, inklu il- plan er (tapp) tal- gomma.
Take it back to your supplier.
Tu ahx jekk tkun tidher xi sara jew jekk ikun hemm xi spazju bejn il- plan er tal- gomma u l- istrixxa bajda tat- tikketta. udu lura ming and min xtrajtu.
See your delivery system manual for further instructions ► Disinfect the rubber membrane with a medicinal swab ► Always use a new needle for each injection to prevent contamination.
Ara l- manwal tas- sistema tal- forniment tieg ek g al aktar struzzjonijiet Iddi infetta l- membrana tal- gomma b’ tajjara medi inali G al kull injezzjoni dejjem u a labra dida sabiex tevita l- kontaminazzjoni
► In insulin infusion pumps ► If Penfill or the device containing Penfill is dropped, damaged or crushed there is a risk of leakage of insulin ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
F’ pompi ta ’ l- infu joni ta ’ l- insulina Jekk Penfill jew it- tag mir li jkun fih l- Penfill jitwaqqa ’, ji rilu l - sara jew jitg affe, hemm ir- riskju ta ’ tnixxija ta ’ l- insulina Jekk ma jkunx in a en kif suppost jew jekk kien iffri at (see 6 Kif ta en Insulatard)
Do not refill Insulatard Penfill.
Timliex mill - did Insulatard Penfill.
Penfill cartridges are designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
L- iskarto i Penfill huma mag mula biex jintu aw mas- sistemi tal- forniment ta ’ l- insulina Novo Nordisk u mal- labar NovoFine.
If you are treated with Insulatard Penfill and another insulin Penfill cartridge, you should use two insulin delivery systems, one for each type of insulin.
Jekk inti qed tkun ikkurat/ a b’ Insulatard Penfill u bi skarto Penfill ta ’ insulina o ra, g andek tu a ew sistemi ta ’ g oti ta ’ l- insulina, wa da g al kull tip ta ’ insulina.
Resuspending the insulin
Kif ter a ’ tag mel l- insulina f’ suspensjoni
Resuspending is easier when the insulin has reached room temperature.
Ikun iktar fa li li ter a ’ ti i mag mula f’ suspensjoni jekk l- insulina tkun la qet it- temperatura tal - kamra.
Before you put the Penfill cartridge into the insulin delivery system, move it up and down between positions a and b and back (see the picture) so that the glass ball moves from one end of the cartridge to the other at least 20 times.
Qabel ma tqieg ed l- iskarto Penfill os- sistema li biha ting ata l- insulina, aqalqu ’ l fuq u ’ l isfel bejn a u b u lura (ara l- istampa) biex b’ hekk il- bo a tal - ie ti aqlaq minn tarf g all- ie or ta ’ l - iskarto g al mill- anqas 20 darba.
The movement must always be repeated until the liquid appears uniformly white and cloudy.
Dan il- moviment g andu dejjem ikun ripetut sakemm il- likwidu jidher abjad u opak b' mod uniformi.
Complete the other stages of injection without delay.
Wettaq l- istadji l- o rajn ta ’ injezzjoni ming ajr telf ta ’ mien.
Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
92 I ekkja li jkun fadal mill- anqas 12- il unità ta ’ insulina fl- iskarto Jekk ikun baqa ’ inqas minn 12- il unità, u a wie ed did.
If there are less than 12 units left, use a new one.
biex tippermetti ta lit uniformi.
How to use this insulin
Kif g andek tu a din l- insulina
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks: the front of your thighs or upper arms may be used.
L- a jar postijiet minn fejn tinjetta lilek innifsek huma: in- na a ta ’ quddiem ta ’ qaddek (i - aqq); il- warrani; in- na a ta ’ quddiem tal- koxox jew in- na a ta ’ fuq ta ’ dirg ajk.
How to inject this insulin
Kif tinjetta l- insulina
Use the injection technique advised by your doctor or diabetes nurse and described in your delivery system manual ► Keep the needle under your skin for at least 6 seconds to make sure that the full dose has been delivered ► After each injection be sure to remove and discard the needle and store Insulatard without the needle attached.
U a t- teknika ta ’ l- injezzjoni kif tak parir it- tabib jew l - infermier/ a tad- dijabete tieg ek u li huwa deskritt fil- manwal tas- sistema li biha ting ata l - insulina. omm il- labra ta t il - ilda tieg ek g al mill- anqas 6 sekondi biex ti gura li d- do a s i a tkun ing atat Wara kull injezzjoni a erta ru ek li tne i u tarmi l- labra u li ta en Insulatard ming ajr ma l- labra tkun imwa la.
Otherwise, the liquid may leak out which can cause inaccurate dosing.
Inkella, il- likwidu jista ’ jnixxi u tista ’ tkun il- kaw a li tittie ed do a baljata.
If you get any of these signs. eat glucose tablets or a high sugar snack (sweets, biscuits, fruit juice), then rest.
Jekk ikollok xi wie ed minn dawn is- sinjali: u pilloli tal- glukosju jew ikla afifa li fiha afna zokkor (elu, gallettini, meraq tal- frott), u mbag ad strie.
Tell your relatives, friends and close colleagues that if you pass out (become unconscious), they must: turn you on your side and seek medical advice straight away.
M' g andhomx jag tuk ikel jew xorb, g ax tista ’ tifga.
They must not give you any food or drink as it could choke you. ► If severe hypoglycaemia is not treated, it can cause brain damage (temporary or permanent) and even death ► If you have a hypo that makes you pass out, or a lot of hypos, talk to your doctor.
Jekk ipogli emija severa ma tkunx ikkurata, din tista ’ tikkaw a sara fil- mo (temporanja jew permanenti) u anki l- mewt Jekk ikollok ipo li ieg lek tintilef minn sensik, jew afna ipos, kellem lit- tabib tieg ek.
You may recover more quickly from unconsciousness with an injection of the hormone glucagon by someone who knows how to use it.
93 Jekk tintilef minn sensik tista ’ tirkupra aktar malajr b’ injezzjoni ta ’ l- ormon glucagon mog ti minn xi add li jaf kif ju ah.
If you are given glucagon you will need glucose or a sugary snack
Jekk ting ata glucagon, ser ikollok b onn il- glukosju jew ikla afifa li jkun fiha z- zokkor malli ter a ’ ti i f’ sensik.
Signs of allergy.
Sinjali ta ’ aller ija.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
94 Inti jista ’ jkollok reazzjoni aller ika serja rari afna g al Insulatard jew g al xi wie ed mill - ingredjenti tieg u (imsej a reazzjoni aller ika sistemika).
89 Swollen joints.
ogi minfu in.
Do not store them in or too near the freezer section or cooling element.
Il- Penfill li ma jkunx qed jintu a g andu jin a en fi fri (2°C - 8°C) Ta inhomx fil- fri a jew qrib afna tal- kompartiment tal- fri a jew ta ’ l- element li jkessa.
Keep the Penfill in the original package.
Tag milhomx fil- fri a. omm il- Penfill fil- pakkett ori inali.
The Penfill that is being used or about to be used is not to be kept in a refrigerator.
Il- Penfill li jkun qed jintu a jew li wasal biex jintu a, m' g andux jin amm fil- fri.
After removing the Penfill from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
Huwa rakkomandat li wara li tkun ri t il- Penfill mill- fri, t allih jil aq it- temperatura tal- kamra qabel ma l- insulina ter a ’ ti i mag mula f’ suspensjoni kif istruwit/ a meta ti i biex tu ah g all- ewwel darba.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
Tista ’ orru mieg ek u ommu fit- temperatura ambjentali tal- kamra (mhux aktar minn 30°C) sa perijodu ta ’ 6 img at.
Always keep your cartridge in the outer carton when you’ re not using it in order to protect it from light.
Dejjem omm l- iskarto fil- kartuna ta ’ barra meta ma tkunx qed tu ah sabiex tilqa 'mid- dawl.
Insulatard should not be disposed of via wastewater or household waste.
Insulatard m’ g andux jintrema ma ’ l- ilma tad- drana jew ma ’ l- iskart domestiku.
– The active substance is insulin human made by recombinant biotechnology.
95 – Is- sustanza attiva hi insulina umana mag mula minn bijoteknolo ija rikombinanti.
1 cartridge contains 3 ml equivalent to 300 IU
Skarto fih 3 ml ekwivalenti g al 300 UI
The suspension for injection comes as a cloudy, white, aqueous suspension.
Is- suspensjoni g all- injezzjoni ti i b ala suspensjoni m ajpra, bajda u akweja.
It is supplied in packs of 1, 5 or 10 cartridges of 3 ml.
Issibu f’ pakketti ta ’ 1, 5 jew 10 skrata ta ’ 3 ml.
90 Marketing Authorisation Holder Novo Nordisk A/ S Novo Allé, DK-2880 Bagsværd, Denmark
Id- Detentur ta ’ l- Awtorizzazzjoni g at- Tqeg id fis- Suq Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, Id- Danimarka
Manufacturer The manufacturer can be identified by the batch number printed on the slip of the carton and on the label:
Manifattur Il- manifattur jista ’ ji i identifikat permezz tan- numru tal- lott ipprintjat fuq il- kartuna u fuq it- tikketta:
91 PACKAGE LEAFLET:
96 FULJETT TA' TAG RIF:
What Insulatard is and what it is used for 2.
Din in- na a tal- fuljett:
Further information
1 X’ inhu Insulatard u g alxiex jintu a 2 Qabel ma tu a Insulatard 3 Kif g andek tu a Insulatard 4 X’ g andek tag mel f’ emer enza 5 Effetti sekondarji li jista ’ jkollu 6 Kif ta en Insulatard 7 Aktar tag rif
Overleaf:
Il- pa na ta ’ wara:
How to use your NovoLet
Kif g andek tu a NovoLet
► If you have trouble with your kidneys or liver, or with your adrenal, pituitary or thyroid glands ► If you are drinking alcohol: watch for signs of a hypo and never drink alcohol on an empty stomach ► If you are exercising more than usual or if you want to change your usual diet ► If you are ill: carry on taking your insulin ► If you are going abroad: travelling over time zones may affect your insulin needs and the timing of your injections.
Jekk g andek problemi tal- kliewi jew tal- fwied, jew tal- glandola adrenali, pitwitarja jew tat - tirojde Jekk qed tixrob l- alko ol: oqg od attent/ a g as- sinjali ta ’ xi ipo u qatt m' g andek tixrob l - alko ol fuq stonku vojt Jekk tag mel e er izzju fi iku aktar mis- soltu jew jekk trid tibdel id- dieta normali tieg ek Jekk inti marid/ a: kompli u l- insulina tieg ek
92 Many medicines affect the way glucose works in your body and they may influence your insulin dose.
Il- mod kif ja dem glukosju fil - isem tieg ek huwa affetwat minn afna medi ini, u dawn jistg u jinfluwenzaw id- do a tieg ek ta ’ l- insulina.
Your need for insulin may change if you also take: oral antidiabetic products; monoamine oxidase inhibitors (MAOI); beta-blockers; ACE-inhibitors; acetylsalicylic acid; anabolic steroids; sulphonamides; oral contraceptives; thiazides; glucocorticoids; thyroid hormone therapy; beta- sympathomimetics; growth hormone; danazol; octreotide or lanreotide.
Il - tie a tieg ek g all- insulina tista ’ tinbidel jekk inti tie u wkoll: prodotti medi inali kontra d - dijabete li jittie du mill - alq; inibituri ta ’ monamine oxidase (MAOI); beta- blokkanti; inibituri ta ’ l - enzima li tikkonverti l- an jotensin (ACE- inhibitors); acetylsalicylic acid; sterojdi anaboli i; sulfonamidi; kontra ettivi orali; tija idi; glukokortikojdi; terapija bl- ormoni tat- tirojde; beta - simpatomimeti i, ormon tat- tikbir danazol; octreotide jew lanreotide.
See overleaf for detailed instructions.
Ara l- pa na ta ’ wara g al struzzjonijiet dettaljati.
► Check the label to make sure it is the right type of insulin ► Always use a new needle for each injection to prevent contamination.
G al kull injezzjoni dejjem u a labra dida sabiex tevita l- kontaminazzjoni
► In insulin infusion pumps ► If NovoLet is dropped, damaged or crushed there is a risk of leakage of insulin ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
F’ pompi ta ’ l- infu joni ta ’ l- insulina Jekk in- NovoLet titwaqqa ’, ti rilha l - sara jew titg affe, hemm ir- riskju li jkun hemm xi telf ta ’ insulina Jekk ma jkunx in a en kif suppost jekk kien iffri at (ara 6 Kif ta en Insulatard)
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms.
L- a jar postijiet minn fejn tinjetta lilek 98 innifsek huma: in- na a ta ’ quddiem ta ’ qaddek (i - aqq); il- warrani; in- na a ta ’ quddiem tal- koxox jew in- na a ta ’ fuq ta ’ dirg ajk.
93 A hypo means your blood sugar level is too low.
Ipo jfisser li l- livell taz- zokkor fid- demm tieg ek hu baxx wisq.
Don’ t take any insulin if you feel a hypo coming on.
Ti ux insulina jekk t oss li ejja ipo. omm fuqek pilloli tal- glukosju, elu, gallettini jew meraq tal - frott, fil- ka li jkollok b onnhom.
Carry glucose tablets, sweets, biscuits or fruit juice with you, just in case.
G id lill- qraba, il - bieb u l- kollegi tieg ek li jekk i ossok a in (tintilef minn sensik), huma g andhom: idawruk fuq enbek u j ibu g ajnuna medika immedjatament.
If you get any of these signs. test your blood sugar level and test your urine for ketones if you can. ´ Tthen seek medical advice straight away.
Jekk ikollok xi wie ed minn dawn is- sinjali: i ekkja l- livell taz- zokkor fid- demm tieg ek u jekk tista ’ i ekkja l- awrina tieg ek g all- ketoni.
• Having forgotten to take your insulin • Repeatedly taking less insulin than you need • An infection or a fever • Eating more than usual • Less exercise than usual.
• Tkun insejt tie u l- insulina tieg ek • Li ripetutament tie u anqas insulina milli g andek b onn 99 • Ikollok infezzjoni jew deni • Tiekol aktar mis- soltu • Tag mel e er izzju fi iku anqas mis- soltu.
94 Side effects reported uncommonly (in less than 1 patient in 100)
Effetti sekondarji rrappurtati b 'mod mhux komuni (f’ inqas minn pazjent 1 minn kull 100)
Keep out of the reach and sight of children.
100 omm fejn ma jintla aqx u ma jidhirx mit- tfal.
Do not store them in or too near the freezer section or cooling element.
In- NovoLet li ma tkunx qeg da tintu a g andha tin a en fi fri (2°C - 8°C) Ta inhomx fil- fri a jew qrib afna tal- kompartiment tal- fri a jew ta ’ l- element li jkessa.
The NovoLet that is being used, about to be used or carried as a spare is not to be kept in a refrigerator.
In- NovoLet li tkun qeg da tintu a, jew li qeda tin arr g al li jista ’ jinqala ’, m' g andiex tin amm fil- fri.
After removing the NovoLet from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
Wara li tkun ri t in- NovoLet mill- fri, huwa rakkomandat li t alliha til aq it- temperatura ambjentali tal- kamra qabel ma l- insulina ter a ’ ti i mag mula f’ suspensjoni, kif istruwit/ a meta ti i biex tu aha g all- ewwel darba.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
Tista ’ orrha mieg ek u ommha fit - temperatura ambjentali tal- kamra (mhux aktar minn 30°C) sa perijodu ta ’ 6 img at.
Always keep the pen cap on your NovoLet when you’ re not using it in order to protect it from light.
Dejjem omm l- g atu tal- pinna fuq in- NovoLet tieg ek meta ma tkunx qed/ a tu aha sabiex tilqg alha mid- dawl.
95 Insulatard should not be disposed of via wastewater or household waste.
Insulatard m’ g andux jintrema ma ’ l- ilma tad- drana jew ma ’ l- iskart domestiku.
1 pre-filled pen contains 3 ml equivalent to 300 IU
Pinna mimlija g al- lest fiha 3 ml ekwivalenti g al 300 UI. – Is- sustanzi l- o ra huma zinc chloride, glycerol, metacresol, phenol, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, protamine sulphate u ilma g all- injezzjonijiet.
It is supplied in packs of 5 or 10 pre-filled pens of 3 ml.
Issibu f’ pakketti ta ’ 5 jew 10 pinen mimlijin g al- lest ta ’ 3 ml.
Now turn over for information on how to use your NovoLet.
Issa aqleb g al informazzjoni dwar kif tu a n- NovoLet tieg ek.
96 Information on how to use Insulatard NovoLet
101 Informazzjoni dwar kif tu a Insulatard NovoLet
Please read the following instructions carefully before using your Insulatard NovoLet.
bok aqra sew l- istruzzjonijiet li ejjin qabel ma tu a l- Insulatard NovoLet tieg ek.
Insulatard NovoLet is a simple, compact pre-filled pen.
Insulatard NovoLet hi pinna mimlija g al- lest sempli i u kumpatta.
You can dial doses from 2 to 78 units in increments of 2 units.
Tista ’ tiddajlja do i minn 2 sa 78 unità f' inkrementi ta '2 unitajiet.
As a precautionary measure, always carry a spare insulin delivery device in case your NovoLet is lost or damaged.
B ala mi ura ta ’ prekawzjoni, g andek dejjem i omm fuqek tag mir ejjed tal- forniment ta 'l - insulina f' ka li n- NovoLet tieg ek tintilef jew ikollha l - sara.
Colour coding
102 Kif tibda
Check the label to make sure that your Insulatard NovoLet contains the correct type of insulin.
I ekkja t- tikketta biex ti gura li l- Insulatard NovoLet tieg ek ikun fiha t- tip korrett ta ’ insulina.
Take off the pen cap.
Ne i l- g atu tal- pinna.
Before every injection: • Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
I ekkja li jkun fadal mill- anqas 12- il unità ta 'insulina fl- iskarto biex tippermetti li s - • suspensjoni ter a ’ ti i mag mula b’ mod uniformi.
If there are less than 12 units left, use a new Insulatard NovoLet • Move the pen up and down between positions a and b and back (picture A) so that the glass ball moves from one end of the cartridge to the other, at least 20 times.
Jekk ikun baqa ’ anqas minn 12- il unità, u a Insulatard NovoLet did. aqlaq il- pinna ’ l fuq u ’ l isfel bejn il- po izzjonijiet a u b u lura (stampa A), biex b’ hekk il - • bo a tal - ie ti aqlaq minn tarf g all- ie or ta ’ l- iskarto g al mill- anqas 20 darba.
The movement must always be repeated, until the liquid appears uniformly white and cloudy • After resuspending, complete all of the following stages of injection without delay • Disinfect the rubber membrane with a medicinal swab • Always use a new needle for each injection to prevent contamination • Remove the protective tab from a NovoFine needle • Screw the needle straight and tightly onto Insulatard NovoLet (picture B) • Pull off the big outer needle cap and the inner needle cap.
Dan il- moviment g andu dejjem ikun ripetut sakemm il- likwidu jidher abjad u opak b' mod uniformi Wara li tkun er ajt g amilt is- suspensjoni, wettaq l- istadji kollha ta ’ l- injezzjoni li ejjin • bla dewmien Iddi infetta l- membrana tal- gomma b’ tajjara b’ di infettant • Dejjem u a labra dida g al kull injezzjoni sabiex tevita l- kontaminazzjoni • Ne i s- si ill protettiv minn fuq labra NovoFine • Invita l- labra bi dritt u b' mod issikkat fuq Insulatard NovoLet (stampa B) • •
Do not discard the big outer needle cap.
Ne i l- g atu l- kbir ta 'ta ’ barra tal- labra.
A
barra
B
B a
Priming to expel air
Preparazzjoni biex tne
Small amounts of air may collect in the needle and cartridge during normal use.
Ammonti g ar ta ’ arja jistg u jin emg u ol- labra u o l- iskarto waqt l- u u normali.
To avoid injection of air and ensure proper dosing: • Hold Insulatard NovoLet with the needle pointing upwards • Tap the cartridge gently with your finger a few times.
Biex tevita l- injezzjoni ta ’ l- arja u ti gura do a korrett: omm Insulatard NovoLet bil- labra tipponta ’ l fuq • B’ sebg ek tektek l- iskarto bil- mod g al xi ftit drabi.
Any air bubbles will collect at the top of the cartridge • Keeping the needle upwards, turn the cartridge for one click in the direction of the arrow (picture C) • Still with the needle upwards, press the push-button fully down (picture D) • A drop of insulin must appear at the needle tip.
Jekk ikun hemm xi b ie aq ta ’ l- arja • dawn ser jin abru fin- na a ta ’ fuq ta ’ l- iskarto Bil- labra dejjem t ares ’ il fuq, dawwar l- iskarto bi klikk wa da fid- direzzjoni tal- vle a • (stampa) Bil- labra g adha tipponta ’ l fuq, ag fas il- buttuna ta ’ l- injezzjoni ’ l isfel kemm tista ’ • (stampa D) Qatra insulina g andha tidher fil- ponta tal- labra.
If not, change the needle and repeat the procedure no more than 6 times.
Jekk dan ma jse x, ibdel il- labra u • irrepeti l- pro edura mhux aktar minn 6 darbiet.
If a drop of insulin still does not appear, the device is defective and must not be used.
Jekk il- qatra ta' l- insulina tibqa ’ ma titfa ax, l- apparat hu difettu u m’ g andux jintu a.
D
103 D C
Setting the dose
Kif tissettja d- do a
• Put the cap back on the pen, with 0 next to the dosage indicator (picture E) • Check that the push-button is fully down.
• Er a 'po i l- g atu fuq il- pinna, bi - 0 biswit l- indikatur tad- do a (stampa E) • I ekkja li l- buttuna ta ’ l- injezzjoni tkun mag fusa kollha ’ l isfel.
If it isn’ t, turn the cap until the push-button is fully depressed • Hold your Insulatard NovoLet horizontally.
Jekk dan ma jkunx il- ka, dawwar l- g atu sakemm il- buttuna ta ’ l- injezzjoni tkun mag fusa kollha ’ l isfel •
Now you’ re ready to set the dose you need • Turn the cap in the direction of the arrow (picture F) to set the right dose.
te tie • Dawwar l- g atu fid- direzzjoni tal- vle a (stampa F) biex tissettja d- do a korretta.
You’ ll feel the cap clicking, and the push-button will rise up • Don’ t put your hand over the push-button when you set the dose.
Ser t oss l- g atu jikklikkja, u l- buttuna ta ’ l- injezzjoni ser titla '’ l fuq. • Tpo ix idek fuq il- buttuna ta ’ l- injezzjoni meta tissettja d- do a.
If the push-button cannot rise freely, some of your insulin will be pushed out of the needle • The scale on the cap shows 0, 2, 4, 6, 8, 10, 12, 14, 16 and 18 units.
Jekk il- buttuna ta ’ l - injezzjoni ma tkunx tista 'titla' b' mod liberu, xi ftit mill- insulina ser tkun sfurzata ’ l barra mil - labra • L- iskala fuq l- g atu turi 0, 2, 4, 6, 8, 10, 12, 14, 16 u 18- il unità.
For every click you feel when you turn the cap, you set 2 units more.
G al kull klikk li t oss meta ddawwar l- g atu, int tkun qed tissettja 2 unitajiet aktar.
The push-button also rises as you turn the cap • The scale under the push-button shows 20, 40 and 60 units.
Il- buttuna ta ’ l- injezzjoni titla 'wkoll hekk kif iddawwar l- g atu • L- iskala ta t il- buttuna ta ’ l- injezzjoni turi 20, 40 u 60 unità.
Every time you fully turn the cap, you set 20 units.
Kull darba li ddawwar l- g atu kompletament, tkun qed tissettja 20 unità.
Dosage examples To set 8 units:
E empji ta 'a do Biex tissettja 8 unitajiet:
Turn the cap until 8 is opposite the dosage indicator; four clicks To select 26 units:
Dawwar l- g atu sakemm in- numru 8 ikun fil- po izzjoni opposta ta 'l- indikatur tad- do a; erba' klikks Biex tissettja 26 unità:
Turn the cap round 1 full turn, so 0 is opposite the dosage indicator again.
Dawwar l- g atu dawra wa da kompleta, b' tali mod li - 0 ikun mill - did fil- po izzjoni opposta ta 'l - indikatur tad- do a.
Keep turning the cap until 6 is opposite the dosage indicator.
Kompli dawwar l- g atu sakemm in- numru 6 ikun fil- po izzjoni opposta ta 'l- indikatur tad- do a.
On the push-button scale you’ ll see a 20- line.
Fuq l - iskala tal- buttuna ta ’ l- injezzjoni, g andek tara l- linja ta ’ l- 20 unità.
Add the 6 from the dosage indicator to the 20 on the push-button scale.
G odd is- 6 mill- indikatur tad- do a ma 'l- 20 fuq l- iskala tal- buttuna ta ’ l- injezzjoni.
There, you’ ve set 26 units (picture G).
Issa g adek kemm issettjajt 26 unità (stampa G).
99 G
104 G
To check a dose you set • Note the figure on the cap next to the dosage indicator • Note the highest figure you can see on the push-button scale • Add the two together to show the dose you set • If you have set a wrong dose, simply turn the cap forwards or backwards until you set the right number of units.
Biex ti ekkja d- do a li tkun issettjajt • Innota n- numru fuq l- g atu biswit l- indikatur tad- do a • •
The maximum dose is 78 units • Don’ t try to set a dose higher than 78 units.
Id- do a massima hi ta ’ 78 unità • Tippruvax tissettja do a og la minn 78 unità.
Otherwise, insulin will leak out of the needle and the dose will be incorrect • If you have, by mistake, tried to set a dose over 78 units, follow these steps:
Inkella, l- insulina ser tnixxi mil- labra u d- do a mhix ser tkun korretta. • Jekk, bi ball, tkun ippruvajt tissettja do a og la minn 78 unità, segwi dawn il- passi:
Turn the cap back as far as you can.
Dawwar l- g atu lura kemm tista '.
Turn it till the push-button is fully down and you can feel resistance.
Dawru sakemm il- buttuna ta ’ l- injezzjoni tkun ’ l isfel g al kollox u tkun tista ’ t oss ir- re istenza.
Then take the cap off and put it back on again, lining up the 0 next to the dosage indicator.
Imbag ad ne i l- g atu u er a 'po ih f' postu, u ag mel i - 0 biswit l- indikatur tad- do a.
Now set the dose again.
Issa, issettja d- do a mill - did.
Remember that 78 units is the maximum dose • After the dose is set, remove the cap to inject the insulin.
Ftakar li 78 unità hi d- do a massima • Wara li d- do a tkun issettjata, ne i l- g atu biex tinjetta l- insulina.
Go straight on to Injecting the insulin.
Mur dritt g as- sezzjoni Kif tinjetta l- insulina.
• Insert the needle into your skin.
• Da al il- labra fil - ilda.
Use the injection technique advised by your doctor • Deliver the dose by pressing the push-button fully down.
U a t- teknika ta ’ l- injezzjoni kif tak parir it- tabib tieg ek. • Ag ti d- do a billi tag fas il- buttuna ta ’ l- injezzjoni, ’ l isfel kemm tista ’.
Be careful only to push the push- button when injecting • Keep the push-button fully depressed after the injection until the needle has been withdrawn from the skin.
Oqg od attent/ a li tag fas il- buttuna ta ’ l- injezzjoni biss meta tkun qed tinjetta Wara l- injezzjoni omm il- buttuna ta ’ l- injezzjoni mag fusa kollha ’ l isfel sakemm il - • labra tkun in ibdet ’ il barra minn ol - ilda.
The needle must remain under the skin for at least 6 seconds.
Il- labra g andha tin amm ta t il - ilda g al mill- anqas 6 sekondi.
This will ensure that the full dose has been delivered.
Dan ser ji gura li d- do a kollha tkun ing atat.
Subsequent injections • Always check that the push-button is completely down.
Injezzjonijiet sussegwenti • Dejjem i ekkja li l- buttuna ta ’ l- injezzjoni tkun kompletament mag fusa ’ l isfel.
If not, turn the cap until the push- button is fully depressed, then proceed as described in Getting started • You may hear a clicking sound when you press the push-button.
Jekk dan mhux il- ka, dawwar l- g atu sakemm il- buttuna ta ’ l- injezzjoni tkun mag fusa ’ l isfel g al kollox, imbag ad kompli kif deskritt fis- sezzjoni Kif tibda • Tista 'tisma' oss ta 'klikk meta tag fas il- buttuna ta ’ l- injezzjoni.
Don’ t use this to set or check your dose; it may not be accurate • You can’ t set a dose higher than the number of units left in the cartridge • You can use the insulin level indicator to estimate how much is left, but you can’ t use it to set or select your dose.
Tu ahiex biex tissettja jew biex ti ekkja d- do a tieg ek; din tista 'ma tag tikx informazzjoni pre i a • Ma tistax tissettja do a akbar min- numru ta ’ unitajiet li jkun fadal fl- iskarto • Tista' a l- indikatur tal- livell ta '
Removing the needle
Er a' po •
• Replace the big outer needle cap and unscrew the needle.
i f 'postu l- g atu l- kbir ta ’ barra tal- labra u oll il- labra.
Use a new needle for each injection.
U a labra dida g al kull injezzjoni.
Remove the needle after each injection and store NovoLet without a needle attached.
105 Ne i l- labra wara kull injezzjoni u a en NovoLet ming ajr ma l- labra tkun imwa la.
Otherwise, the liquid may leak out which can cause inaccurate dosing.
Inkella, il - likwidu jista ’ jnixxi u din tista ’ tkun il- kaw a li tittie ed do a baljata.
100 Health care professionals, relatives and other carers must follow general precautionary measures for removal and disposal of needles to eliminate the risk of unintended needle penetration.
Professjonisti fil- qasam tas- sa a, qraba u nies o rajn li jie du sieb il- pazjent, g andhom isegwu l - mi uri enerali ta ’ prekawzjoni g at- tne ija u r- rimi tal- labar biex ji i eliminat kull riskju ta ’ tingi a identali.
Close your Insulatard NovoLet fully with 0 next to the dosage indicator.
Ag laq kompletament l- Insulatard NovoLet tieg ek bi - 0 biswit l- indikatur tad- do a.
Dispose of your used Insulatard NovoLet carefully without the needle attached.
Armi l- Insulatard NovoLet u ata tieg ek b’ attenzjoni ming ajr ma l- labra tkun imwa la.
Your Insulatard NovoLet is designed to work accurately and safely.
L- Insulatard NovoLet tieg ek hi mag mula biex ta dem bi pre i joni u bla periklu.
It must be handled with care.
G andha tkun immani jata bl- attenzjoni.
Do not refill Insulatard NovoLet.
Timliex mill - did Insulatard NovoLet.
You can clean the exterior of your Insulatard NovoLet by wiping it with a medicinal swab.
Tista ’ tnaddaf il- parti ta ’ barra ta ’ l- Insulatard NovoLet tieg ek billi timsa a b’ tajjara b’ di infettant.
Do not soak it, wash or lubricate it.
M’ g andekx ixxarrabha, ta silha jew tillubrikaha.
This may damage the mechanism.
Dan jista ’ jag mel sara lill- mekkani mu.
101 PACKAGE LEAFLET:
106 FULJETT TA' TAG RIF:
Insulatard InnoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard InnoLet 100 UI/ ml suspensjoni g all- injezzjoni f’ pinna mimlija g al- lest Insulina umana (rDNA)
How to use your InnoLet
Kif g andek tu a InnoLet
102 Many medicines affect the way glucose works in your body and they may influence your insulin dose.
Il- mod kif ja dem glukosju fil - isem tieg ek huwa affetwat minn afna medi ini, u dawn jistg u jinfluwenzaw id- do a tieg ek ta ’ l- insulina.