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How Many Insulin Injections Per Day

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Insulin (medication)

"Insulin therapy" redirects here. For the psychiatric treatment, see Insulin shock therapy. Insulin is used as a medication to treat high blood sugar.[3] This includes in diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, and complications of diabetes such as diabetic ketoacidosis and hyperosmolar hyperglycemic states.[3] It is also used along with glucose to treat high blood potassium levels.[4] Typically it is given by injection under the skin, but some forms may also be used by injection into a vein or muscle.[3] The common side effect is low blood sugar.[3] Other side effects may include pain or skin changes at the sites of injection, low blood potassium, and allergic reactions.[3] Use during pregnancy is relatively safe for the baby.[3] Insulin can be made from the pancreas of pigs or cows.[5] Human versions can be made either by modifying pig versions or recombinant technology.[5] It comes in three main types short–acting (such as regular insulin), intermediate–acting (such as NPH insulin), and longer-acting (such as insulin glargine).[5] Insulin was first used as a medication in Canada by Charles Best and Frederick Banting in 1922.[6] It is on the Continue reading >>

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  1. Tony Sangster

    ( this answer is not to be taken as medical advice or opinion).
    As a type 1 diabetic I spent 46 years giving myself insulin injections and the past 4 and a bit on an insulin pump. I resisted moving to an insulin pumps for a number of years - being stubborn about my independence and not wanting a pump to seemingly make me even more dependent than the insulin injections were already.
    But .. by year 44 I was needing 5 to 6 insulin injections per day to have any hope of a modicum of control over my blood sugars. And hypo’s at night were becoming frequent and frightening both for me and my wife. I would reaching the stage of not being fit to drive and driving was an important part of my work.
    The decision to move to an insulin pump became a no-brainer. and I have not looked back. Blood sugars stabilised, the fear and frequency of any hypo receded.
    I am not suggesting that an insulin pump is the answer for all. But if your doctor strongly suggested it why not avail yourself of the reasons.? Do you think your doctor is doing this to change your fashion sense or threaten your psyche?
    For me looking back ( they say hindsight is 20/20 vision, or in Australia 6/6 vision) the advantages of a pump would have given me better control years earlier and reduced my risk of potentially brain-damaging hypoglycaemia. ( Although my wife says my brain and thinking patterns were a lost cause years ago !!)
    I also saw a study ( my doctor told me) where those with newly diagnosed type 1 diabetes who had the best sugar control over the first few years of their treatment were much less likely to suffer from diabetic complications later. Now if that study’s results and insulin pumps were available in 1966 when I was diagnosed do you think I would ignore it ? NO WAY !
    I understand the intrusiveness of the pump, the concern about what others might think, the rigmarole of refilling the pump every few days and the finger-pricks.
    But think: how many people wear pagers, mobile phones, other technological gadgets in plain view or are obvious from the bulges they make ?
    Can you separate a person from their mobile phone, I pod etc ?
    Would people accept having their mobile phone removed and instead have to know the location of the nearest phone box to ring up to make calls and receive messages ? I know this latter question is not an exact analogy of pump vs injections but consider how disruptive is 4 to 6 injections today ( what I consider for me the best comparison to using an insulin pump).
    So . I would ask myself, what is more important? My health. short and long term or my feelings and expectations perhaps influenced by society, peer group etc.?
    Insulin is my saviour, friend, cannot-do-without thing. Injections were my administration method for 46 years. The insulin essentially has not changed ( except types over the years) but I have the opportunity to do it better with a pump.

    Grasp the nettle. Try not to react, adapt. - are my adopted slogans.

  2. Judy Gaffney

    If you are really really unhappy with the pump then do try injections using a pen, however I don`t think you would be much happier in the long term as each method has advantages and disadvantages that are just as likely to make you feel this way. That is one of the effects of diabetes so please do talk to your healthcare providers about this.
    The other three answers here are all very good being answered by type 1`s themselves and so obviously know first hand what they are talking about. My answer is as the parent and observer of a type 1 who often moans and gets angry with his pump. Sometimes it fails in delivery and he then stops the pump and reverts back to injections, stating that he is not going to use the pump ever again and that he is better off with injections. This does not last long before he is happy enough to go back on the pump.
    Overall, he is much better off on the pump as, even though he still does not seem able to get good control of his diabetes, since he has had the pump he has only had to attend the Accident and Emergency once in nearly five years, due to hypers and keto-acidosis. Before that he had to attend the A & E department eight times in the one year for the same reason!

    So my advice would be to stick with the pump.

  3. Brenda Walker

    I personally refuse to wear a pump, because I don't want diabetes attached to my body. I don't want a pump to be what people see first when meeting me and judging me.

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