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During episodes of low blood sugar, or if youre allergic to insulin. allergic reaction may occur and may be life threatening. dont reuse needles or share insulin pens, even if the needle has been changed. the most common side effect is low blood sugar, which can be serious and life threatening. it may cause shaking, sweating, fast heartbeat, and blurred vision. check your blood sugar levels daily while using toujeo®. injection site reactions may occur. dont change your dose or type of insulin w...