Questions about Injecting insulin for a TYPE 2 DIABETIC!

I am an INSULIN DEPENDANT LIFE LOVING TYPE 2 DIABETIC!!!

I am not thrilled with injecting myself since I grew up with a health dislike for needles. But I do have several questions to the populus.

1) some times when I inject in my tummy area, the insulin burns. What is happening and is there anything I can do to stop it.

2) Sometimes I get these big purple marking in my tummy. I figure I broke a blood vessel. Is there a way to avoid this?

3)I have noticed on some days different parts of my tummy area are sensitive to the needle prick. Do you force it in or do you look for another spot. The sensitive spots tend. to rotate from day to day.

4) Is it better to "stab" the needle in the flesh or keep pressing against the flesh till if finally sinks in?

5) Does anybody feel dizzy or just a little lopsided after injecting insulin? What causes this. How do I guard against this?

6)Do you change the needle with every use or do you reuse it to get more of your moneys worth?

7) Does taking insulin make you body temperature hotter than when it wears off. I swear I feel hotter after I have injected.

8) how long does it take you to inject? It is never a quick process for me because I wait for the skin to break while I am pressing it against the flesh. Is this wrong?

9) Is 45 cc a day considered alot for a TYPE 2 DIABETIC. I understand TYPE 1 is totally different.

10) Are there other areas besides my tummy that I can inject. I asked my ENDO about the arms and she told me the absorption is poor in that area.... SO where else????

11) Should I ask for a pump??

12)What size needle do you use? I am using 31 BD

Thanks!

I'm answering these as a type 1, but an injection is an injection!

1) Sometimes burning happens, especially the larger the dose. You can try pushing plunger slowly, but not sure that will help.

2) I just look for veins close to the surface and try to avoid them.

3) Depending on the consistency of the skin, any scarring under it, etc., some areas can be stubborn. I think a quick jab gets it over with faster, but it really is a matter of personal preference. If you find some areas aren't easy to inject, draw a diagram of your abdomen (and this area includes from top of rib cage to below belly button and can extend around your sides--I choose the parts where it's easiest to "pinch an inch") and mark areas to avoid.

4) See above. Also, what gauge and length of needles are you using? There are some really short, narrow needles on the market today.

5) Haven't experienced this.

6) I have reused needles (but some insulins can't mix--so if you use a long-acting and a rapid-acting, be sure not to reuse a needle that may have some residue left).

7) Haven't experienced this.

8) Takes longer to fill the syringe than to do the jab--but hey, I've had LOTS of experience (4 injections a day for forever, 6 while pregnant, now I do infusion set insertions and cgm insertions).

9) No, 45 units total daily dose is not a large dose. Depending on insulin resistance (and this is usually in someone who is obese or overweight), doses in the 100s are not uncommon. Most people diagnosed with type 2 have already lost 50-80% of their own insulin-producing beta cells. That insulin has to be replaced somehow. If you figure the body typically makes enough insulin for background needs each hour--say, 24 units daily, plus needs a certain amount to "cover" food, that means a number in the 30s-40s at minimum (of course, body weight, activity levels, age, and eating plans cause wide variability). If insulin resistance is present, as it is in type 2, then more may be needed.

10) Outer arms, thighs, hips, buttocks--all can be injected. Some people experiment and discover they have OK absorbtion in other places. But typically abdomen is recommended. Just keep in mind that rotation is key--branch out a bit to save your skin and ensure that scar tissue doesn't build up--that makes absorption really tricky. I overused the area below my belly button and have not injected or inserted there for more than a year because the area was not responding well to insulin.

Very best wishes! Injecting isn't fun, but insulin is very effective at lowering blood glucose levels and has a long history of use. Hypoglycemia, low blood sugar, is always a possibility, but still fairly rare for a PWD type 2 using long-acting.

Almost none of these are specific T2 questions and many are generic injection questions. Here is my contribution

1) some times when I inject in my tummy area, the insulin burns. What is happening and is there anything I can do to stop it.

Sometimes you can get burning with any injection. Some insulins, like Lantus are actually acid and some people have noticible burning. The subcutaneous layer is mostly devoid of nerves, if you miss that layer you may notice more burning.

2) Sometimes I get these big purple marking in my tummy. I figure I broke a blood vessel. Is there a way to avoid this?

When I first started injecting, I got lots of bruises. I selected a different needle size and improved my technique and now almost never get bruises. I beleive that I was initially injecting too deep and now pinch up with a smaller needle. You can also inject too shallow. If your injection is a large number of units, that may also cause a problem.

3)I have noticed on some days different parts of my tummy area are sensitive to the needle prick. Do you force it in or do you look for another spot. The sensitive spots tend. to rotate from day to day.

I just jab it in, but if it hurts, I don't inject, I pull it out and use another site. I do that in the belief that if it hurts, I probably nicked something and are more likely to get a bruise or scar. Of course, I am probably just superstitious.

4) Is it better to "stab" the needle in the flesh or keep pressing against the flesh till if finally sinks in?

Faster is always better. Just try an press a straw into an apple. Particularly if you inject through your clothes.

5) Does anybody feel dizzy or just a little lopsided after injecting insulin? What causes this. How do I guard against this?

Injections are a bodily injury. Many people feel a little woozy after injecting or giving blood. I think this is a natural reaction to body injury where your blood pressure drops to protect against loss of blood. You become accustomed to injection and this should go away.

6)Do you change the needle with every use or do you reuse it to get more of your moneys worth?

Do I have to answer this? Will this be graded? I keep the pen needle on the pen and will reuse it a couple times. Needles are cheap, it is not about money, it is about time and trouble.

7) Does taking insulin make you body temperature hotter than when it wears off. I swear I feel hotter after I have injected.

This is a new one on me.

8) how long does it take you to inject? It is never a quick process for me because I wait for the skin to break while I am pressing it against the flesh. Is this wrong?

If the needle is on the pen, and the pen is in my hand, about 15 seconds. But only because I keep the pen in the injection site for about 5-10 seconds before pulling out. I do this to let the injection pressure equalize.

9) Is 45 cc a day considered alot for a TYPE 2 DIABETIC. I understand TYPE 1 is totally different.

Yowza, for U-100 insulin, 45cc is 4500 units. That is a lot for any diabetic. I think you meant 45 units. A total daily dose of 45 units would be considered a modest amount for a type 2 diabetic. A lot depends on how big you are, how insulin resistant you are and what you eat. I hope you meant 45 units.

10) Are there other areas besides my tummy that I can inject. I asked my ENDO about the arms and she told me the absorption is poor in that area.... SO where else????

You can inject in your arms, your thighs and your butt. Absorption does vary. Some of it also depends on how much bodyfat you carry in those sections.

11) Should I ask for a pump??

I actually beleive that all diabetics (T1 and T2) should become competent in basal bolus injections with corrections before moving to a pump. In the same way that we don't immediately give teenagers sports cars with manual transmission and nitrous oxide, we give them 1993 crown victorias with predamaged fenders so that they can learn to drive. It does little good to have a pump with a huge amount of fine control without really understanding and applying the underlying concepts. Of course, I've never had a pump and having been assigned a T2 diagnosis, my chances of getting an insurance covered pump are slim.

Finally, I think you have too few questions and should not have made this post until you have at least 100 questions.

You are are too cute!!!

1) some times when I inject in my tummy area, the insulin burns. What is happening and is there anything I can do to stop it.

Are you using Lantus? Lantus stings. Levemir doesn't. Are you usinf basal & rapid acting for meals?

I find if I don't inject quickly, it sometimes stings for a second.

2) Sometimes I get these big purple marking in my tummy. I figure I broke a blood vessel. Is there a way to avoid this?

Make sure you're pinching up enough flesh.

3)I have noticed on some days different parts of my tummy area are sensitive to the needle prick. Do you force it in or do you look for another spot. The sensitive spots tend. to rotate from day to day.

I just jab it in. Once it's in, I'm not moving to another spot.

4) Is it better to "stab" the needle in the flesh or keep pressing against the flesh till if finally sinks in?

I stab. This doesn't hurt me at all.

5) Does anybody feel dizzy or just a little lopsided after injecting insulin? What causes this. How do I guard against this?

Perhaps this is your dislike of needles. No insulin starts working instantly. Never had this happen.

6)Do you change the needle with every use or do you reuse it to get more of your moneys worth?

I never reuse needles. They get dull. I don't want to clean needles.

7) Does taking insulin make you body temperature hotter than when it wears off. I swear I feel hotter after I have injected.

No. Never experienced this.

8) how long does it take you to inject? It is never a quick process for me because I wait for the skin to break while I am pressing it against the flesh. Is this wrong?

Takes me a split second. Don't do it slowly, just jab it & go.

9) Is 45 cc a day considered alot for a TYPE 2 DIABETIC. I understand TYPE 1 is totally different.

No point in comparing what you need to anyone else. You need what you need to cover what you eat & do.

10) Are there other areas besides my tummy that I can inject. I asked my ENDO about the arms and she told me the absorption is poor in that area.... SO where else????

Arms hurt like hell & you have to be careful to not hit a muscle, which hurts even more. Stomach, of course, hips, love handles, top of butt, outer thighs, top of thighs. Pinch skin before injecting anywhere. Keep rotating areas.

11) Should I ask for a pump??

12)What size needle do you use? I am using 31 BD

I use 31 g, 5/16 length with 1/2 unit markings. I/2 unit marking is helpful.

Since the previous posters said what I'd say in answer to your questions all I want to add is that Lantus stings. Levemir is ph neutral and is more comfortable to inject. But it doesn't always last 24 hours many need to take twice a day. Those are both basal insulins.

Basal isn't this a spice you put on soup? Not apart of my regime. Is this common for Type 2 to do this?

Its the humalog that stings!

11) Come to So California....parents pick up kids in limos and for give Porsches for birthday presents.

10) In the hospital I got injections in the back of my arms that didn't hurt. Goodness if I had to do this myself it will be scary.

9)I am sure I meant 45 units.

4) I wish I had the nerve to inject through my clothes....

2) Pinch the area? In training they never mentioned this. I am using a pen. I can only imagine those folks with needles. It would take me longer to do it. I remember the nurse stabbing me in 1 second. I thought it was the most violent thing. the only reason why I can even do this is because it is not painful and the needles seem to sink naturally in my belly in certain areas.

Is hard to do inject into your arm yourself & not shoot into muscle. Very awkward.

Yep, pinch up the skin to inject into the fat. That's the way. Injecting into the fat layer is what's needed. You won't bruise, you won't hit a capillary & it doesn't hurt. From BD, who manufacturers syringes & needles http://www.bd.com/us/diabetes/page.aspx?cat=7001&id=7257.

Don't know the length of your needles. You didn't mention using a pen until now. If the pen needles are short, you don't have to pinch up the skin. I found pens hurt more than syringes. I had a lot of bruising from pens.

Some T2s are just on basal. Some just use rapid acting for meals like you. Some are on both. Your between meal readings & morning fasting must be good if basal wasn't perscribed. That's the role of basal insulin.

Hi Christalyn.. U will get used to it. It really gets easier and faster... I am on a pump now,. When I injected with syringes ( I rarely used a pen) I used a variety of sites, usually the sides and tops of thighs, lower abdomen, sides of hips, butt,etc. I was not trained to inject my skinny little arms 43 years ago as 13 year old, and never learned to do the arms.Wherever I could find fat worked the best. (L0L). you have to rotoate the sites, you can get skin lumps and bumps if you repeatedly use the same area ( This happened to me). A black and blue mark may mean, as preious posters have suggested, that he needle is too thick and long. I always used 1/2 cc microfine syringes by BD.

Your dosage amount is individual to you. It could be a lot higher as a type 2.

I used lantus and it stung a little on rare occasions. See if you can check out the book Using Insulin by John Walsh.. It is a great resouce and can be found cheap on Amazon, or at your public library.

Hope my little info helps.

God BLess,

Brunetta

My 2c: I was always a slowpoke (Joke intended!). Literally. I couldn't bring myself to jab in the needle. The other advantage was that I would touch a spot with the needle, and if it hurt, I would move to another spot that didn't hurt and use it.

I did get bruises, no matter what I did. Not always, but often enough that there were always purple, black, green and yellow spots on my tummy. I can only use the midriff, because below the belly button, I have a lot of stretch mark scars from my pregnancy.

Now, I'm on a pump and CGM, and for some reason, I don't get bruises from them. I have no idea why. I also use inserters, and they go in fast, and they don't hurt (very much) but I still don't think I could do an injection rapidly!

Type 2's on insulin can definitely benefit from pumps, but it really depends on your insurance company and your doctor. I personally know several Type 2's on pumps, and they really like them. The pump companies are beginning to look at marketing to Type 2's, and they are very willing to do their best to help you.

You and I have PLENTY in common. I can not bring myself to stab myself with the needle. It took along time for me to prick my finger by myself. Several months infact because I didn't like the needles and the pain prick. I now prick on my palm where it is not so bad.

I get bruises by the time I see them they are healing. I am suppose to do 7 shots a day. This is with 3 types of injectables. It is always the evening shots that I manage to forget or get lazy about. I will wake up in the middle of the night and fuss with them. I am thinking if i had a pump I could remedy this. I don't think my doctor will give me a pump. I think she knows that its more about developing habits than the actual need. However, I had wanted to go on insulin a while ago because she said my numbers where high. Now she is happy with me since I have been on humalog.

It is hard to do the multiple "stabbings" .When My MDI's went to 5-6 a day, I began to have problems finding prime, unlumpy "real estate" to inject.....I had to be ready to pump., and I was. your doctor probably thinks you need to be on the injections for about 6 months, notjusst to get used to them, but to learn the various intricacies of injecting insulin as a medication: How to carb count , learn how to adjust your insulin dosages based on what you are going to eat, what you are going to do and your current blood glucose levell, and how to correct with insulin. And to Log everyihing you eat and do for severalweeks/months. That learning curve is steep and long, but I assure you it is doable.

God Bless,

Brunetta

Is it cold when you inject it? I didn't get a 'stinging' feeling, but I don't like the 'feeling' of injecting cold insulin though it wasn't as bad when I was younger. Once you're as comfortable as you think you can get on injections then definitely ask your doctor about a pump. You should be confident in injecting, but there's no sense in torturing yourself for too long. Most pumps have automated insertions, so it may sting but it's much less often and you don't have to control it! In almost 18 years, I think I only injected my arm once. It was more trouble than it was worth (and just as painful the way I was doing it -- rolling my arm over the back of a chair. I like my thighs better than my stomach, for both pump and manual injections, because I less frequently experience pain. But not everyone feels that way, and the nerve distribution can be different between people, and between women and women, so I don't know if that is worth trying for you. Good luck!