Toujeo Special Precautions

Talk to a doctor, pharmacist or nurse before using Toujeo.
Follow closely the instructions for dose monitoring (blood and urine tests), diet and physical activity (physical work and exercise) and injection technique, as discussed with the doctor.
Be especially aware of the following: Too low blood sugar (hypoglycaemia). If the blood sugar is too low, follow the guidance for hypoglycaemia.
If the patient switched from another type, brand or manufacturer of insulin the insulin dose may need to be changed.
Pioglitazone. See Pioglitazone Used Together With Insulin under Interactions.
Ensure to use the right insulin. Medication errors due to mix-up between insulins, particularly between long-acting insulins and rapid-acting insulins have been reported. The patient must always check the insulin label before each injection to avoid mix-ups between Toujeo and other insulins.
Never use a syringe to remove Toujeo from the SoloStar pre-filled pen. This is to avoid dosing errors and potential overdose which may lead to low blood sugar. See also Dosage & Administration.
If the patient is blind or have poor eye sight, do not use the pre-filled pen without help. This is because the patient will not be able to read the dose window on the pen. Get help from a person with good eye sight who is trained in using the pen. If the patient has poor eyesight, see Dosage & Administration.
Illnesses and Injuries: In the following situations, the management of the diabetes may require extra care (for example, blood and urine tests): If the patient is ill or had a major injury. The blood sugar level may increase (hyperglycaemia).
If the patient is not eating enough. The blood sugar level may become too low (hypoglycaemia).
In most cases talk to a doctor. Contact a doctor as soon as the patient feels ill or got an injury.
If the patient has "Type 1" diabetes and had an illness or injury: Do not stop the insulin.
Keep eating enough carbohydrates.
Always tell people who are caring or treating the patient, that the patient has diabetes.
Insulin treatment can cause the body to produce antibodies to insulin (substances that act against insulin). However, only very rarely, this will require a change to the insulin dose.
Travel: Talk to a doctor before travelling. The patient may need to talk about: If the type of insulin is available in the country the patient is visiting.
How to arrange the supply of insulin, needles and other items.
How to correctly store the insulin while travelling.
The time the patient eats meals and use the insulin.
The possible effects of changing to different time zones.
Any health risks in the countries the patient will visit.
What the patient should do in an emergency situation if the patient feels unwell or become ill.
Important Information About Some of the Ingredients of Toujeo: This medicine contains less than 1 mmol (23 mg) sodium per dose. This means it is essentially 'sodium-free'.
Driving and Using Machines: Having too low or too high blood sugar or sight problems can affect the ability to drive and use tools or machines. The concentration may be affected. This could be dangerous to the patient and others.
Ask the doctor whether the patient can drive if: The blood sugar is often too low; The patient finds it hard to recognise when the blood sugar is too low.
Use in Children and Adolescents: This medicine should not be used in children under 6 years of age. This is because there is no experience with Toujeo in this age group.