Jeimeen Agra,M.D., faculty member of Institute for Studies on Diabetes Foundation, Inc., said some people tend to evade needles because they are afraid. This is called Trypanophobia.
Agra said one can make insulin injections less painful by keeping insulin in use at room temperature about 25 degrees to 30 degrees Celsius (like at the vegetable section); injecting only when the alcohol is fully dry after cleaning the site; avoiding injection at hair roots; using needles of shorter length and smaller diameter; and using a new needle at each injection.
When you insert the needle, do it in a quick, dart-like movement through the skin fold using the index finger by pushing the plunger slowly until the insulin is completely delivered, Agra said.
She said while the index finger is still in the injection plunger, pull the needle out of skin. Then release the skin fold. DO NOT RUB the injection site.
“Unlike pens, it is NOT NECESSARY to hold the syringe needle under the skin for 10 seconds after the plunger has been depressed,” the lecturer said.
The indications for insulin therapy in type 2 diabetes mellitus include severe hyperglycemia or high blood sugar at diagnosis; hyperglycemia despite maximum doses of oral agents; development of severe hyperglycemia with ketonemia (the presence of an abnormally high concentration of ketone bodies in the blood) and/or ketonuria (the excretion of abnormally large amounts of ketone bodies in the urine, characteristic of diabetes mellitus, starvation, or other medical conditions); decompensation due to intercurrent events, including infection, acute injury, surgery, liver or kidney disease; uncontrolled weight loss; to overcome glucotoxicity or the structural and functional damage in the beta cells and target tissues of insulin caused by chronic hyperglycemia wherein these alterations can cause a lower hormonal secretion and action called insulin resistance; inpatient glycemic management; pregnancy; and allergy or serious reaction to oral medications.
Finally, the lecturer said once you are diagnosed with diabetes mellitus, you’ll live forever with it since there’s no cure but only just to help control your blood sugar levels. Actually, getting an insulin injection is not your real enemy, but the uncontrolled blood sugar level, she concluded. (Ana Theresa Williams,BSN,RN)