What Are The Side Effects Of Insulin Shots?
Insulin is at the center of the diabetes problem. In people with type 2 diabetes, the body does not use insulin effectively. The pancreas compensates by overproducing insulin, and in time, it simply cannot keep up with the demands of the body to keep glucose levels down. To provide enough insulin to the body to manage blood glucose levels, many diabetics are advised to take insulin shots. The insulin in these injections is a chemical that is produced artificially to resemble the insulin made in our pancreas. This insulin works just like natural insulin by escorting sugar from our blood into our cells. Type 2 diabetics deal with a condition known as insulin resistance. It is a phenomenon where cells aren’t sensitive to the action of insulin (escorting blood glucose into cells) and hence, do not respond to it. This leads to the accumulation of glucose in the blood and is called hyperglycemia. Supplemental insulin given to Type 2 diabetics helps the body ‘muscle’ sugar out of the bloodstream and into cells. Insulin injections are used to regulate blood sugar differently for the different diabetes-types: For people who have type 1 diabetes – Their bodies cannot make insulin and therefore they aren’t able to regulate the amount of glucose in their bloodstream. For people who have type 2 diabetes – Their bodies aren’t able to produce enough insulin, or use it effectively. The insulin shots are used because the blood sugar cannot be regulated with oral medications alone. They also stop the liver from producing more sugar. Every type of insulin available in a drug store works in this way. They, mainly, differ in two ways – How quickly they begin to work For how long they can regulate blood sugar levels Mechanism of Action Regulating the process in which glucose Continue reading >>
Giving Yourself An Insulin Shot For Diabetes
For those with diabetes, an insulin shot delivers medicine into the subcutaneous tissue -- the tissue between your skin and muscle. Subcutaneous tissue (also called "sub Q" tissue) is found throughout your body. Please follow these steps when using an insulin syringe. Note: these instructions are not for patients using an insulin pen or a non-needle injection system. Select a clean, dry work area, and gather the following insulin supplies: Bottle of insulin Sterile insulin syringe (needle attached) with wrapper removed Two alcohol wipes (or cotton balls and a bottle of rubbing alcohol) One container for used equipment (such as a hard plastic or metal container with a screw-on or tightly secured lid or a commercial "sharps" container) Wash hands with soap and warm water and dry them with a clean towel. Remove the plastic cap from the insulin bottle. Roll the bottle of insulin between your hands two to three times to mix the insulin. Do not shake the bottle, as air bubbles can form and affect the amount of insulin withdrawn. Wipe off the rubber part on the top of the insulin bottle with an alcohol pad or cotton ball dampened with alcohol. Set the insulin bottle nearby on a flat surface. Remove the cap from the needle. If you've been prescribed two types of insulin to be taken at once (mixed dose), skip to the instructions in the next section. Draw the required number of units of air into the syringe by pulling the plunger back. You need to draw the same amount of air into the syringe as insulin you need to inject. Always measure from the top of the plunger. Insert the needle into the rubber stopper of the insulin bottle. Push the plunger down to inject air into the bottle (this allows the insulin to be drawn more easily). Leave the needle in the bottle. Turn the bottle an Continue reading >>
Painful Insulin Injections May Be A Thing Of The Past
One of the biggest complaints of those diagnosed with diabetes or fear of those who have heard their doctor’s mention ‘insulin’ is the pain associated with the injections. For millions of people worldwide with diabetes, these painful injections may be a thing of the past soon. This is all possible thanks to an innovative invention from the researches at the University of NC State and North Carolina. What have they created to make these injections go away? An Invention that May Save Lives There are many type 2 patients who refuse an insulin treatment regime simply because they do not want to give themselves insulin injections. Whether they are afraid of needles or simply do not want to deal with the pain that comes along with them, this new invention could literally save their lives. They have designed a smart insulin patch that will detect any increase in blood sugar and then secretes a dose of insulin into their bloodstream when it is needed. This amazing device is no bigger than that of a penny and on it has hundreds of teeny tiny needles that are only the size of an eyelash. These needles are known as microneedles. I recommend reading the following articles: These microneedles really make the world of a difference. They have microscopic storage for units of insulin and the glucose sensing enzymes which will release when blood sugar levels get to be too high. The study conducted had found that this painless little patch was able to lower the blood sugar levels in the mice subjects who had type 1 diabetes for up to nine hours. There is more clinical testing needed and then clinical trials for humans will be required before the patch can be used on patients, but it’s definitely something that is showing wonderful promise for those with diabetes. Removing Human E Continue reading >>
Insulin And Type 2 Diabetes: What You Should Know
Insulin and Type 2 Diabetes If your health care provider offered you a medication to help you feel better and get your blood sugar under control, would you try it? If so, you might be ready to start taking insulin. Does insulin immediately make you think of type 1 diabetes? Think again. Between 30 and 40 percent of people with type 2 diabetes take insulin. In fact, there are more people with type 2 diabetes who take insulin than type 1 because of the much larger number of people with type 2. Experts believe even more people with type 2 should be taking insulin to control blood sugar -- and the earlier, the better. With an increase in people developing type 2 at a younger age and living longer, more and more people with type 2 will likely be taking insulin. "If you live long enough with type 2 diabetes, odds are good you'll eventually need insulin," says William Polonsky, Ph.D., CDE, associate clinical professor of psychiatry at the University of California, San Diego; founder and president of the Behavioral Diabetes Institute; and author of Diabetes Burnout: What to Do When You Can't Take It Anymore (American Diabetes Association, 1999). Producing Less Insulin Naturally Over Time Research has shown that type 2 diabetes progresses as the ability of the body’s pancreatic beta cells to produce insulin dwindles over time. Your beta cells -- the cells in the pancreas that produce insulin -- slowly lose function. Experts believe that by the time you're diagnosed with type 2 diabetes, you've already lost 50-80 percent of your beta cell function and perhaps the number of beta cells you had. And the loss continues over the years. "About six years after being diagnosed, most people have about a quarter of their beta cell function left," says Anthony McCall, M.D., Ph.D., endocri Continue reading >>
What Is Insulin And Why Does It Need To Be Injected?
Dear Diabetes Educator, My name is Lori and my doctor told me I have diabetes and need to take insulin. I don’t understand what insulin is and why I need to use a needle to inject it. I would like to take an insulin pill instead. Please explain this to me. Dear Lori, Thank you for your question. Insulin is a hormone made in the beta cells of the islets of Langerhans which is located in the pancreas. When you eat, the fats proteins and carbohydrates in our food is broken down to be used by our body. These substances are called macronutrients and are needed for growth and maintenance. The carbohydrates in our food are broken down to glucose as part of the digestion process. Glucose travels through the bloodstream to the cells in our body to be used as energy. To enter most cells, insulin is needed. Without insulin, glucose builds up in the bloodstream. When the body cannot make insulin or make enough insulin, it must be taken through injection. Pills that are used to help control diabetes are not insulin. These pills are to help the body use the insulin it already makes. The hormone insulin is made up of proteins that if taken by mouth is denatured by the digestive process. This would inactivate the insulin. Therefore, when the body can’t make insulin, it can’t be taken in pill form and at this time must be injected. *Please ask your physician and medical team for guidance in understanding the types of insulin you need and when and how much to take. You should also learn how to properly inject your insulin. Ask your doctor if you can see a diabetes educator to learn all about insulin and other aspects of taking care of your diabetes. Continue reading >>
Insulin is necessary for normal carbohydrate, protein, and fat metabolism. People with type 1 diabetes mellitus do not produce enough of this hormone to sustain life and therefore depend on exogenous insulin for survival. In contrast, individuals with type 2 diabetes are not dependent on exogenous insulin for survival. However, over time, many of these individuals will show decreased insulin production, therefore requiring supplemental insulin for adequate blood glucose control, especially during times of stress or illness. An insulin regimen is often required in the treatment of gestational diabetes and diabetes associated with certain conditions or syndromes (e.g., pancreatic diseases, drug- or chemical-induced diabetes, endocrinopathies, insulin-receptor disorders, certain genetic syndromes). In all instances of insulin use, the insulin dosage must be individualized and balanced with medical nutrition therapy and exercise. This position statement addresses issues regarding the use of conventional insulin administration (i.e., via syringe or pen with needle and cartridge) in the self-care of the individual with diabetes. It does not address the use of insulin pumps. (See the American Diabetes Association’s position statement “Continuous Subcutaneous Insulin Infusion” for further discussion on this subject.) INSULIN Insulin is obtained from pork pancreas or is made chemically identical to human insulin by recombinant DNA technology or chemical modification of pork insulin. Insulin analogs have been developed by modifying the amino acid sequence of the insulin molecule. Insulin is available in rapid-, short-, intermediate-, and long-acting types that may be injected separately or mixed in the same syringe. Rapid-acting insulin analogs (insulin lispro and insulin a Continue reading >>
What Type Of Diabetes Requires Insulin Injections?
People with Type 1 diabetes always require insulin injections in order to control blood sugar readings because they make little or no insulin. Insulin is also prescribed for Type 2 diabetes when oral medications or other injectable meds are not controlling blood sugar levels adequately. Anyone taking insulin of any kind is at risk for hypoglycemia (low blood sugar). Taking insulin does not mean you have a “bad type” of diabetes. The purpose of using insulin is to get the best management of blood sugar readings as close to normal blood sugar readings as possible to help avoid complications from diabetes. Type 1 diabetes is an autoimmune disease that results in destruction of the insulin producing cells. People with this type of diabetes must take insulin. Type 2 diabetes is a multimolecular disorder that causes 2 things (at least). First insulin secretion is inadequate. It may be the amount or the way it is secreted. Second most people with this type of diabetes also have a resistance to the insulin they do put out. So it's a double whammy. There are three factors that come into play that might determine the need for insulin: physical activity, dietary intake and age. A lot of exercise, a proper diet to control weight may minimize the amount of medication you need for many years but this is a progressive disorder and as you get older so does your ability to produce insulin. Sooner or later, even under the best of circumstances you will need insulin. Now, it may be of advantage to start insulin way before that time to keep your blood glucose normal which leads to a better quality of life and reduce risk for complications. Actually, all types of diabetes (type 1, type 2 and gestational) can require insulin injections. With type 1 diabetes, a person's beta cells stop pr Continue reading >>
Facts About Insulin Treatment
Insulin is an essential hormone. Without it, the body cannot control or properly use glucose (sugar) – one of its main energy supplying fuels. How does insulin help diabetes? People with type 1 diabetes produce inadequate amounts of insulin, so insulin replacement is their key treatment. Without adequate insulin replacement, people with type 1 diabetes will see their blood sugar levels rise and the body will start to burn up its fat stores. In a few days this leads to a condition called diabetic acidosis, which is life threatening. Too much insulin, on the other hand, leads to such low levels of blood sugar that it causes a condition called hypoglycaemia. The symptoms include paleness, shaking, shivering, perspiration, rapid heartbeat, hunger, anxiety and blurred vision. In some cases it can cause loss of consciousness (hypoglycaemic coma) and convulsions. In type 2 diabetes the problem is not a lack of insulin output, but increasing resistance of your cells to the effects of insulin. In the early years, the body compensates for this insulin resistance by increasing the output of insulin from the pancreas gland. Ultimately, the pancreas becomes unable to cope. About 30 per cent of people with type 2 diabetes eventually need treatment with insulin. The longer a person has type 2 diabetes, the more likely they will have to start insulin treatment at some point. There are four main kinds of injectable insulin. The type of insulin you use will depend on your individual needs and lifestyle. Rapid-acting insulin analogues start working within 10 or 15 minutes and last between 2 to 4 hours. Examples are insulin aspart, insulin aspart and insulin glulisine. Short-acting insulin, eg Actrapid: soluble insulin starts working within 30 to 60 minutes and lasts six to eight hours. Continue reading >>
Everything You Ever Wanted To Know About Injecting Insulin…
But Didn’t Know to Ask Just take your shot. What could be easier, right? Well, you’d be surprised how many errors are made by “veteran” insulin users. It turns out there’s nothing basic about the basics of insulin injections. However, you can improve your technique. This article takes a look at the nitty-gritty details behind successful insulin delivery, why they matter, and how to avoid common pitfalls. The gear Realistically, there are two delivery systems when it comes to injecting insulin: syringes and pens. Yes, there are pumps, but that’s a whole other subject. And yes, there are jet injectors, but they are not widely used. Syringes. The first-ever human insulin shot was delivered by syringe in 1922, and here in the United States, more than half of all insulin is still delivered via syringe. Syringes used to be made of glass, had to be sterilized between uses, and had long, thick, steel surgical needles that could be resharpened on a kitchen whetstone. (No kidding.) But syringes have come a long way since then. Syringes are now disposable, the barrels are made of plastic, and the needles are thin, high-tech, multi-beveled, and coated with lubricants to make them enter the skin smoothly. (Bevels are the slanted surfaces on a needle that create a sharp point.) In the old days, the needle and the syringe were separate components. Nowadays most insulin syringes come with the needle attached. People who use syringes almost always purchase insulin in vials. Vials are glass bottles that generally hold 1,000 units of insulin. Pens. Insulin pens date from the mid-1980s, and while syringes still predominate in the United States, much of the rest of the world has traded in syringes for insulin pens. Pens currently come in two varieties: disposable, prefilled pens Continue reading >>
Is Skin Preparation Necessary Before Insulin Injection?
Abstract The effect of routine skin preparation on skin bacterial flora was measured in thirteen insulin-dependent diabetic patients. 5 seconds of skin cleansing of sites on the leg, arm, and abdomen with 70% isopropyl alcohol reduced bacterial counts by 82-91%. During a 3-5 month observation period the subjects omitted skin preparation before insulin injection every other week. More than 1700 insulin injections were given without skin preparation. No signs of local or systemic infection were observed. These results indicate that routine skin preparation with alcohol before insulin injection markedly reduces skin bacterial-counts but may not be necessary to prevent infection at the injection sites. Continue reading >>
Patient Education: Diabetes Mellitus Type 2: Insulin Treatment (beyond The Basics)
TYPE 2 DIABETES OVERVIEW Type 2 diabetes mellitus occurs when the pancreas (an organ in the abdomen) produces insufficient amounts of the hormone insulin and/or the body's tissues become resistant to normal or even high levels of insulin. This causes high blood glucose (sugar) levels, which can lead to a number of complications if untreated. People with type 2 diabetes require regular monitoring and ongoing treatment to maintain normal or near-normal blood sugar levels. Treatment includes lifestyle adjustments, self-care measures, and medications, which can minimize the risk of diabetes-related and cardiovascular complications (eg, heart attacks and strokes). Learning to manage diabetes is a process that continues over a lifetime. The diagnosis of diabetes can be overwhelming at the beginning; however, most people are able to lead normal lives, and many patients become experts in their own care. This topic review discusses the role of insulin in blood sugar control for patients with type 2 diabetes. Separate topic reviews about other aspects of type 2 diabetes are also available. (See "Patient education: Diabetes mellitus type 2: Overview (Beyond the Basics)" and "Patient education: Self-monitoring of blood glucose in diabetes mellitus (Beyond the Basics)" and "Patient education: Hypoglycemia (low blood sugar) in diabetes mellitus (Beyond the Basics)" and "Patient education: Diabetes mellitus type 2: Alcohol, exercise, and medical care (Beyond the Basics)" and "Patient education: Preventing complications in diabetes mellitus (Beyond the Basics)".) IMPORTANCE OF BLOOD SUGAR CONTROL IN TYPE 2 DIABETES Keeping blood sugar levels in control is one way to decrease the risk of complications related to type 2 diabetes. The most common complication of type 2 diabetes is heart d Continue reading >>
Correlates Of Insulin Injection Omission
Go to: The purpose of this study was to assess factors associated with patient frequency of intentionally skipping insulin injections. Data were obtained through an Internet survey of 502 U.S. adults self-identified as taking insulin by injection to treat type 1 or type 2 diabetes. Multiple regression analysis assessed independent associations of various demographic, disease, and injection-specific factors with insulin omission. Intentional insulin omission was reported by more than half of respondents; regular omission was reported by 20%. Significant independent risk factors for insulin omission were younger age, lower income and higher education, type 2 diabetes, not following a healthy diet, taking more daily injections, interference of injections with daily activities, and injection pain and embarrassment. Risk factors differed between type 1 and type 2 diabetic patients, with diet nonadherence more prominent in type 1 diabetes and age, education, income, pain, and embarrassment more prominent in type 2 diabetes. Whereas most patients did not report regular intentional omission of insulin injections, a substantial number did. Our findings suggest that it is important to identify patients who intentionally omit insulin and be aware of the potential risk factors identified here. For patients who report injection-related problems (interference with daily activities, injection pain, and embarrassment), providers should consider recommending strategies and tools for addressing these problems to increase adherence to prescribed insulin regimens. This could improve clinical outcomes. Continue reading >>
Insulin And Diabetes
Insulin is a hormone that is produced by your body to break down glucose (sugar) from the food you eat so it can be used for energy. Glucose is found in foods that contain carbohydrates, such as bread, pasta, rice and potatoes, as well as in sugary sweets and drinks. If you have diabetes, your body can’t properly break down the glucose in your body and turn it into energy. All people with type 1 diabetes and some people with type 2 diabetes need regular insulin replacement to keep their blood sugar level under control. Storing insulin Insulin must be stored correctly to work properly. It can be kept at room temperature (below 30 degrees Celsius) for a maximum of one month. Spare insulin should always be kept in the fridge. Never put insulin in the freezer. Taking insulin Your doctor or diabetes nurse or educator will have given you advice about taking insulin. It is important that you always follow this advice exactly. Contact your diabetes nurse or educator if you: have forgotten or missed a dose of insulin are late taking your insulin have not taken enough insulin. If you take too much insulin Taking too much insulin or other diabetes medicines can cause your blood sugar level to drop too low. This is known as ‘hypoglycaemia’ or a ‘hypo’, and can develop into a serious situation if not addressed. If you think you have taken too much insulin, check your blood sugar level as soon as possible, and repeat this frequently. If your blood sugar level is low, you will need to address this straight away. If you take too little insulin Taking too little insulin can cause your blood sugar level to rise too high. This is called hyperglycaemia. If you have forgotten or missed a dose of insulin, or not taken enough insulin: Do not take the missed dose or extra insulin unl Continue reading >>
"Insulin therapy" redirects here. For the psychiatric treatment, see Insulin shock therapy. Insulin is used as a medication to treat high blood sugar. 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. It is also used along with glucose to treat high blood potassium levels. Typically it is given by injection under the skin, but some forms may also be used by injection into a vein or muscle. The common side effect is low blood sugar. Other side effects may include pain or skin changes at the sites of injection, low blood potassium, and allergic reactions. Use during pregnancy is relatively safe for the baby. Insulin can be made from the pancreas of pigs or cows. Human versions can be made either by modifying pig versions or recombinant technology. 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). Insulin was first used as a medication in Canada by Charles Best and Frederick Banting in 1922. It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system. The wholesale cost in the developing world is about US$2.39 to $10.61 per 1,000 iu of regular insulin and $2.23 to $10.35 per 1,000 iu of NPH insulin. In the United Kingdom 1,000 iu of regular or NPH insulin costs the NHS 7.48 pounds, while this amount of insulin glargine costs 30.68 pounds. Medical uses Giving insulin with an insulin pen. Insulin is used to treat a number of diseases including diabetes and its acute complications such as diabetic ketoacid Continue reading >>
Why Insulin Can Become Necessary For A Person With Type 2 Diabetes
People with type 2 diabetes may require insulin when their meal plan, weight loss, exercise and antidiabetic drugs do not achieve targeted blood glucose (sugar) levels. Diabetes is a progressive disease and the body may require insulin injections to compensate for declining insulin production by the pancreas. That is why starting insulin treatment should never be seen as a failure. Starting insulin treatment should never be seen as a failure. Treatment with insulin may be added to an antidiabetic medication or completely replace it. Regardless of the treatment, lifestyle habits (diet, exercise, stress management) are essential to managing diabetes. Many people are reluctant to inject insulin for various reasons: Fear of pain or needles Guilt Impression that this is the “last resort” Fear of hypoglycemic attacks Fear of weight gain Memories of loved one who had to take insulin If this is the case, do not hesitate to discuss your concerns with a health care professional. Some of your fears may be due to false beliefs. Learning more about today’s insulin treatment will probably allay your fears. For many people, insulin is an effective way to achieve good blood-sugar control, which can prevent or delay certain diabetes complications over the long term. Every person with diabetes being treated with insulin should be trained by a health care professional. This training should include the different injection steps, as well as the treatment and prevention of hypoglycemia, which can occur in anyone on insulin. Research and text: Cynthia Chaput, Dietitian Scientific review: Louise Tremblay, Nurse. M. Ed. June 2014 - Revised May 2016 Continue reading >>