MY TREATMENT DIARYUsing this diary may make it easier for you to manage your type 2 diabetes Your...

NOV17SE063_PatientTreatmentDiary_E6.indd3-6-2018 4:32 PM

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Patient Treatment DiaryNOV17SE063Novo Nordisk/Ozempic

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1” = 1”8.27” w x 5.84” h 8.27” w x 5.84” h8.27” w x 5.84” h 8.27” w x 5.84” h8.77” w x 6.34” h 8.77” w x 6.34” hNone None

Job info

Saddle-stitched bookletFlat size: 16.54’’ x 5.84’’Folds to a finished size of: 8.27’’ x 5.84’’

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Creative Medical PS Production Proofreader

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Publication

Alex Vrzovski / Meredith Humeby

FontsMinion Pro, Frutiger

ImagesSEMA_GL_0111_HR_F.psd (299 ppi), SEMA_GL_0004_Seamless_Shot_06_0042_F.psd (653 ppi, -654 ppi), Novo_Nordisk_4C.eps, OZEM-PIC_Logo_Pr_4C_EN.ai

Colour Cyan, Magenta, Yellow, Black

Track your treatment—one week at a time

Please see the Patient Information Leaflet for more information or contact your healthcare professional with any questions you may have about type 2 diabetes or your Ozempic® treatment.

MY TREATMENT

DIARY

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Name

Name of your healthcare professional

Your healthcare professional’s contact information

Target goals I set with my healthcare professional

A1C: ________________ Weight: ________________

1


Introducing your weekly diary

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Using this diary may make it easier for you to manage your type 2 diabetes

Your Ozempic® diary offers suggestions for diet and exercise that you may use along with your therapy.

Helping you manage your type 2 diabetesSpeak with your healthcare professional to help you determine the day of the week that works best for you to take your dose of Ozempic®

Just as a reminder, Ozempic® should be taken once a week on the same day each week, and does not need to be taken with meals.

Here are a few ways to help you remember to take your dose:

It is recommended to note the chosen weekday (e.g., Wednesday) on your Ozempic® carton. You can also write the date on the carton every time you have injected Ozempic®.

Helpful tips for remembering to take your medication

Mark it on your calendar

Set up weekly electronic reminders, such as text or email alerts

Pair it with an activity you enjoy each week

Get help with reminders from a family member or friend


3

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Eat smaller, more frequent meals

Drink plenty of water (stay hydrated)

Eat slowly

Avoid fatty food

Like all medicines, Ozempic® may cause side effects

The most common side effects are nausea and diarrhea, but these usually diminish over time. Another very common side effect is low blood sugar when Ozempic® is used with a sulfonylurea or insulin.

If you experience nausea or diarrhea, here are some things that may help:1–3

For the full list of possible side effects, please see the Patient Information Leaflet. If you experience any side effects, speak with your healthcare professional.

If you feel comfortable using a diary format, you may wish to write down information such as your weekly Ozempic® dose, your injection day, your fasting blood glucose as well as your weight and lifestyle goals. Although this is optional, some people find that recording their information in a diary like this helps them and their healthcare professional to see how they are responding to treatment.

Your doctor will start you on a dose of 0.25 mg over the next 4 weeks.

See the example below for how to fill in your diary:

MYOZEMPIC®

DOSE

Example

Week 1

Week 2

Week 3

Week 4

0.25 mg

0.25 mg

0.25 mg

0.25 mg

0.25 mg

81 kg8.3 mmol/L Take the dog for a longer walkI feel proud of myself for taking that longer walk

DOSETAKEN

MYTHOUGHTS

MYWEIGHT

MY LIFESTYLE GOALS THIS WEEK

(e.g., take a walk, cook dinner at home)

FASTING BLOODGLUCOSE


Getting started5

for 4 weeks

Start at

0.25 mg

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Week 1 0.25 mg

0.25 mg

0.25 mg

0.25 mg

Week 2

Week 3

Week 4

DOSETAKEN

MYTHOUGHTS

MYOZEMPIC®

DOSE

MYWEIGHT


MY LIFESTYLEGOALS THIS WEEK


Month 1

You’ve completed your first month!

The starting dose is 0.25 mg once a week. After 4 weeks, your dose should be increased to 0.5 mg once a week.

Questions for your healthcare professional or your reflections on the past month

You may experience some side effects as your Ozempic® dose increases. Follow the tips in this diary to help you get through them and be sure to speak with your healthcare professional about how you are feeling.


Well done!7

for 4 weeks

Start at

0.25 mg

Increase to

0.5 mg(maintenance dose)

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Month 2

You just finished month 2 That went by fast! Have you noticed any changes? Looking ahead to the next 4 weeks, your healthcare professional will decide if you need to increase your dose of Ozempic®. Depending on your needs, your doctor may decide to keep you on the 0.5 mg dose, or move you up to the 1 mg dose if your blood sugar is not controlled enough with the 0.5 mg dose.

Do not change your dose unless your doctor has told you to.

* In a separate, pre-filled pen delivering only doses of 1 mg.

DOSETAKEN

MYTHOUGHTS

MYOZEMPIC®

DOSE

MYWEIGHT




Week 5

Week 6

Week 7

Week 8

Questions for your healthcare professional or your reflections on the past month


Good job!9

for 4 weeks

Start at

0.25 mg

Increase to

0.5 mg(maintenance dose)

If required, increase to

as directed by your doctor(maximum maintenance dose)

1 mg*

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Month 3

Keep it up!

Now is a good time to look back at where you started and reflect on your journey so far. How are your goals coming along? Try to keep things interesting by adding new vegetables into your meals or a new type of exercise. Looking back may inspire you to set new goals as a way to help challenge yourself.

If you would like to make notes, there is space on page 13 of this diary.

DOSETAKEN

MYTHOUGHTS

MYOZEMPIC®

DOSE

MYWEIGHT




Week 9

Week 10

Week 11

Week 12


You’ve completed 12 weeks11

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DOSETAKEN

MYTHOUGHTS

MYOZEMPIC®

DOSE

MYWEIGHT




Week 13

Week 14

Week 15

Week 16

Month 4

You’ve completed 16 weeks of therapy!

Continue taking Ozempic® as your healthcare professional has instructed. As you move forward with your therapy, remember to set new goals for yourself. When working towards a goal, no matter how big or small, it can help you to stay motivated throughout your treatment journey.

Your treatment journey and lifestyle goals don't end here. Continue to work with your support system and healthcare team to keep you motivated!

Notes


Congratulations!13

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References: 1. Ozempic® (semaglutide) Product Monograph. Novo Nordisk Canada Inc. January 4, 2018. 2. Research Society for the Study of Diabetes in India. Diabetes Mellitus and Gastrointestinal System. In: Tripathy B, ed. RSSDI Textbook of Diabetes Mellitus Vol 1. 2nd ed. New Delhi, India. Jaypee Brothers Medical Publishers (P) Ltd; 2012. 3. Tan Attila and Timothy R. Koch. Pathophysiology and Management of Diabetic Gastropathy. In: Opara E, ed. Nutrition and Diabetes: Pathophysiology and Management. Boca Raton, FL. Taylor & Francis Group, LLC, 2006. 4. The National Digestive Diseases Information Clearinghouse. Gastroparesis. 2012. Available at: http://www.syracusegastro.com/docs/Gastroparesis_508.pdf. Retrieved January, 2018.

All trademarks owned by Novo Nordisk A/S and used by Novo Nordisk Canada Inc. Novo Nordisk Canada Inc., Tel: (905) 629-4222 or 1-800-465-4334. www.novonordisk.ca© Novo Nordisk Canada Inc. CA/SM/0118/0010E

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