Sanofi-aventis JuniorSTAR User manual

Designed to lighten young lives
User guide
†
Available in three different colours. Colour availability varies by country.
J
unior
S
TAR
®
J
unior
S
TAR
®


3
MY Diabetes team
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User information
Name:�����������������������������������������������������������������������������������������������
Address and contact number:
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Date of first use of JuniorSTAR®:
(Your JuniorSTAR®insulin pen can be used for up to 2 years after first use)
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Insulin regimen:
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IMPORTANT
Discuss your insulin regimen with your Diabetes Team


5
Getting started
with JuniorSTAR
®
JuniorSTAR®is a half-unit re-usable pen used to inject insulin
Read these instructions and follow them completely each time
you use JuniorSTAR®to ensure that you get the right dose� If you
do not follow these instructions completely, you may get too much
or too little insulin, which may affect your blood glucose
If you are not sure how to use JuniorSTAR
®
on your own, make
sure you only use JuniorSTAR®when you are with someone who
can help you
Your Diabetes Team has decided that JuniorSTAR
®
is appropriate
for you, based on your ability to handle JuniorSTAR
®
� Talk with
your Diabetes Team about the proper injection technique before
using JuniorSTAR®
Hold the pen as shown in this user guide� To ensure that you read
the dose correctly, hold the pen horizontally, with the needle
on the left and the dosage selector to the right as shown in the
illustrations
You can set doses from 1 to 30 units in steps of 0�5 units� JuniorSTAR®
can only be used with Sanofi 3ml insulin cartridges

JuniorSTAR
®
is available in different colours� If you use different
types of insulin, you should use a different colour pen for each
insulin
If you have any questions about your JuniorSTAR®pen or
Type 1 Diabetes, please ask your Diabetes Team or call Sanofi
Diabetes in your country
IMPORTANT
- Do not share your JuniorSTAR®pen - it is only for you
- Always have a back-up method for delivering your insulin available
(e�g� an insulin syringe)

Key Steps
7
STEP1- INSERT A NEW INSULIN CARTRIDGE 10
STEP2- CHECK YOUR INSULIN 14
STEP3- ATTACH A NEW NEEDLE 15
STEP4- DO A SAFETY TEST 16
STEP5- SELECT YOUR DOSE 18
STEP6- INJECT YOUR DOSE 20
STEP7- REMOVE THE NEEDLE 22
STEP8- STORE YOUR PEN 24
IMPORTANT
- Always talk with your Diabetes Team about the right injection
technique before using your JuniorSTAR®pen
- Make sure you always follow all of these instructions� If not, you may
not get the right dose of insulin, which may affect your blood glucose
levels
- If you use different types of insulin you should use a different colour for
each insulin pen� JuniorSTAR®is available in different colours
- Always check the label of your insulin before use

8
GETTING TO KNOW
JUNIORSTAR
Your JuniorSTAR®pen has 3 main parts, as shown in the
following picture:
JuniorSTAR®exists in different colours: silver, blue and red
(availability varies by country)�Demonstration is conducted
in the blue pen, but does not change the usage
If you use different types of insulin you should use a different
colour for each insulin pen
You can set doses from 1 to 30 units in steps of 0�5 units
In addition to your JuniorSTAR®pen, you will also need:
Instructions for use
A 3 ml Sanofi insulin cartridge (supplied separately)
A pen needle (supplied separately – availability varies by
country)
An alcohol swab (supplied separately – availability varies by
country)
A puncture-resistant container (supplied separately –
availability varies by country)
pen cap cartridge holder pen body
plungerwindow
plunger reset ring
dose window
injection button
dosage selector
disk

9
Your pen needle (not included with your JuniorSTAR® pen)
could look like the following picture:
- Go to page 30 to find out which needles can be used with your
JuniorSTAR®pen
- Make sure you also read the instructions that come with your pen needles
IMPORTANT
- Do not share your JuniorSTAR®pen - it is only for you
- Always have a back-up method for injecting your insulin available
(e�g� an insulin syringe)
- JuniorSTAR®is available in different colours - if you use different types of
insulin you should use a different colour for each insulin pen
IMPORTANT
outer needle
cap
inner
needle
cap
needle protective
seal

10
INSERT A NEW
INSULIN CARTRIDGE
If you have already inserted an insulin cartridge into your
JuniorSTAR®pen, start at Step 2�
YOU WILL NEED TO INSERT A NEW INSULIN CARTRIDGE:
The first time you use your JuniorSTAR®pen
When you have run out of insulin
When your insulin has expired
STEP1 A Pull off the pen cap
STEP1
IMPORTANT
- Never use a damaged or expired insulin cartridge and never insert
a partially used insulin cartridge into your JuniorSTAR®pen
- Insulin expires 28 days after you have taken it out of cool storage,
or by the expiration date, whichever comes first
0
1
0
1

11
If there is an empty insulin cartridge, remove it
1If the dose window does not show the number “0”,
push the injection button completely down
2Hold the plunger reset ring
3Turn the pen body towards you until it cannot be
turned further and the plunger is fully retracted
Unscrew the cartridge holder
from the pen body
Fully rewind the plunger to
the starting position
- Do not touch the disk at the tip of the plunger and do not try to push the
plunger back in
- This could damage the plunger and cause malfunction of the pen
IMPORTANT
STEP1 B
STEP1 C
0
1
0
1

12
STEP1 D
STEP1 E
Check your insulin
Insert your new insulin cartridge into
the cartridge holder
STEP1
Check the label on your cartridge to make sure you have the
correct insulin� Using the wrong insulin may result in unwanted
changes in blood sugar that could be harmful to your health
Follow the instructions provided with your insulin cartridge to check
expiry date and the conditions of your insulin
- Do not insert a partially used insulin cartridge
- Make sure that the name on the insulin cartridge is visible in the
cartridge holder window
IMPORTANT
Tip!
When you need a new cartridge, take it out of the
refrigerator 1-2 hours before - cold insulin is more
painful to inject

13
STEP1 F Screw the cartridge holder firmly
back on to the pen body
Check that the marks on the cartridge
holder and the pen body line up
What if the marks do not line up?
- Unscrew the cartridge holder and repeat the instructions
from STEP 1C onwards
- Do not try to force the cartridge holder onto the pen body

STEP2
14
0
1
0
1
0
1
1
1
CHECK YOUR INSULIN
STEP2 A Check the appearance
of your insulin
If you are using clear insulin (check your insulin type in your insulin leaflet), do
not use the cartridge if the insulin is cloudy or colored
If you are using a suspension insulin (check your insulin type in your insulin
leaflet), turn the pen up and down at least 10 times to resuspend the insulin�
Turn the pen gently to avoid foaming in the cartridge
After mixing, check the appearance of your insulin� Insulin suspensions must
have an evenly milky-white appearance� Mixing is described in the leaflet of
your insulin� Before every injection the suspension insulin has to be evenly mixed
- Check the name on the insulin cartridge each time before
you inject
- In case the name of the insulin is not visible in the
cartridge holder window, turn the cartridge with your
fingers until the name is visible
IMPORTANT

15
- Always use a new sterile needle for each injection�This
helps prevent contamination and potential needle blocks
- Only use needles compatible with the JuniorSTAR®pen
(see page 30)
- Check that you have read and understood the instructions
supplied with your pen needles
IMPORTANT
STEP3 A
STEP3
ATTACH A NEW NEEDLE
Peel off the protective seal from your
new pen needle*
STEP3 B Line up your pen needle with the
end of the cartridge holder
Keep your pen needle straight and screw or push it onto the cartridge holder
until firmly fixed
How do I know if my pen needle needs to be screwed or pushed on?
You can find this information in the instructions supplied with your pen
needles
*Please note: needles shown for illustrative purposes only

16
DO A SAFETY TEST
The dose window will show the number “2”
STEP4 A Select a dose of 2 units by turning
the dosage selector
STEP4
- Always do a safety test before each injection to make
sure that you get the correct insulin dose
- The safety test removes air bubbles and ensures that pen
and needle are working properly
- When dialing your insulin dose, hearing 1 “click” means you
have turned 0�5 units (dosing starts from 1)
IMPORTANT
STEP4 B Pull off the outer and inner needle
caps from your needle
Keep the outer needle cap
for Step 7
Take off the inner needle cap
and discard it
1
2
3
2
3
1
3
1
2
3
1
1
3
1
1
1
1
2
1
1
1
1
Keep Throw
away

17
What if there is still no insulin coming out of needle tip after several tries?
1Change your needle
- Remove your needle (see Step 7)
- Attach a new needle (see Step 3)
2Check the insulin cartridge
- Has it been inserted properly? (see Step 1)
- Is it damaged? (see Step 1)
3Repeat the safety test
If there is still no insulin coming out, do not use your JuniorSTAR®pen, use your
back-up injection method and contact your Diabetes Team
1Check to see if drops of insulin come out of the
needle tip
2Once you have seen insulin coming out of the
needle tip, you have completed the safety test
STEP4 D Press the dose injection
button all the way in
0
1
0
1
1
- You may have to perform the safety test several times before insulin is
seen
IMPORTANT
Gently tap the cartridge holder a few times so any air
bubbles rise up towards the needle
STEP4 C Hold your JuniorSTAR®pen
with the needle pointing
upwards
TAP
1
2
3
2
3
1
3

18
SELECT YOUR DOSE
STEP5 A Check that the dose window shows the
number “0” following the safety test
STEP5
Select your required dose by dialing
the dosage selector clockwise
STEP5 B
- You can set the dose in steps of 0�5 units from a minimum
of 1 unit to a maximum of 30 units
- The dose window shows every number and half unit steps
are shown with a line
- Each click represents a half-unit increment
IMPORTANT
0
1
If you turn past your dose, you can turn back down
Lines or numbers closest to the center of the dose window show your
selected dose
Do not push the injection button while dialing - insulin will come out

19
IMPORTANT
How to read the dose window:
- Half-unit doses are shown as a line between numbers
- The dose window shows full numbers
- For example, the picture on the previous page shows what your
JuniorSTAR®pen would look like if a dose of 15�5 units is dialed up
You cannot turn the dosage selector past the number of units left in the
cartridge� Do not force the dosage selector to turn� In this case you can:
− EITHER: inject what is remaining in this cartridge and complete your dose
with a new cartridge;
− OR: use a new cartridge for your full dose

STEP6 A
20
INJECT YOUR DOSE
STEP6
Give the injection exactly as shown
by your Diabetes Team
Your Diabetes Team will show you how and where to inject
STEP6 B
STEP6 A
Insert the needle into the skin
IMPORTANT
- Always take care not to accidentally injure yourself or someone else
with your needle for safety reasons
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