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Health Forum    Diabetes
Health Discussion Forum

 What happens if i am diagnosed with type 1 diabetes?
Will I have to go to the hospital if I am diagnosed with type 1 diabetes? If so, what will i do there? Will they just teach me how to control my diabetes? Will they just monitor me? Will they do ...


 I'm not a diabetic, but i get these weird feelings, making me think i have a low blood sugar.What is it?
Today i was walking my dog over by my school, When all of a sudden I got this feeling like a low blood sugar. Diabetes runs in my direct family, so my mother tells me what it feels like when she has ...


 Help me please with a dinner meal, ?
I have type2, since Christmas. No meds, no insulin. I'm having a brain burp or something, I have been sick and I'm just not as sharp as I "can" be.

So what would you ...


 diabetes walk? answers please<333?
i am going to do a walk for diabetes with my friend and we need a team name... any good ideas. please answer, anyonne?!!...


 Ways to raise money for diabetes?
me and my friend want to raise money to find a cure for diabetes and we have 2 questions.

1. what are some ways to raise money

and 2. we decided that one way we will try is ...


 first signs of diabetes?
im only 12. what are some ealy signs....


 Do Blood Sugar Test Strips Work long after the expiration date?
Looking for answers from people in Health Care Field or Diabetics from their own personal experience. How long after expiration date would they likely still be close to accurate. Thanks so much....


 What's the difference between Type 1 and Type 2 diabetes?
Well, I know that Type 1, you're normally born with and Type 2 is due to being overweight and having a poor diet.
But what I meant by the question is.. are the symptoms any different from ...


 What are some causes of Diabetes Type 2?
Does eating too much sugar cause Diabetes Type 2?
Additional Details
Thanks people. ;]...


 i think i have Diabetes.. Help ?
i had a blood test about a month ago to see if i had the flu, now i have all the symptoms of diabetes and was wondering if it would have showed on the test if i acctually had diabetes ?...


 My dad has diabetes i dont think i do but?
everytime i eat or do something alot of times i feel really light headed i felt like that and like a hour or two a lot less i decided to use my dads machine to see my sugar level trying to narrow it ...


 My boyfriend has diabetes and has severe trouble controlling his anger when his sugar is high?
will I always have to deal with this?
Additional Details
We have been together for 5 years, he is Type 1 diabetic since he was 11 years old he is now 26. When I check his sugar when he ...


 Would this help me figure out if i am hypoglycemic?
I have episodes where my body is absolutely starving. My stomach feels completely empty, and the hunger is so bad it hurts. I start to get feelings of hotness, and then the next minute I am ...


 Hi, i am planning to sell my kidney.can i get the guidance?
Hi, I am thinking of selling my kidney in India only. My blood group is O+.Need to know the pros and cons about it....


 regarding types of diabetes, what is the mechanism underlying glucose induction of insulin secretion?

Additional Details
this is a hint given for a question for an up and coming exam i a stuck ...


 How long until sugar effects diabetes?
When does the sugar start effecting you after ingesting it?...


 What does Insulin Level has to do with Periods?
I am 25yrs old, married, residing in India. I have missed my period since last 3 months. I have been tested negative for pregnancy. However Dr has given me Metmorphin saying my fasting Insulin is ...


 Do I have Type 2 Diabetes?, alcoholism?
I'm 26, and no one in my family is diabetic. For 4 years I was a pretty serious alcoholic and I got sober just shy of 3 years ago (Oct 31st is my sobriety date). After getting sober, I lost ...


 Why are people with diabetes at higher risk for hypoglycemia?
I can see why hyperglycemia would be a problem, but hypoglycemia doesn't make sense unless they were purposefully avoiding sugar, and if they were doing that, then they probably also check their ...


 Blood Sugar Level is high for an unknown reason!!?
I recently came off glucophage because my Dr said I was fine now and didn't need it anymore. (I was diagnosed with insulin resistance). I just joined weight watchers so I'm not eating ...



Monica
What can I do to make insulin shots less painful?
This is for my daughter. She is 3 and a type 1 diabetic.

A year ago when she was first diagnosed she was mostly okay with the shots. But over time she's become more and more upset about them. They really seem to hurt ... she doesn't start to cry out until right before I pull the needle out, and when do I pull it out that seems to hurt her the most. It's like the insulin burns. I've been drawing the insulin up ahead of time and making sure it's not cold before I inject her. I've been trying to make her relax before I give them and that helps a little sometimes. Does anyone have any tips?
                      









r.thiruvelan
Type 1 Diabetes be treated with insulin, by injecting insulin under the skin. Easy to use insulin injecting systems are insulin pen & insulin pumps. Insulin Pump is mimic our pancreas.

For further information on insulin pen, pumps and alternate treatments for diabetes, visit:


Gary B
Rating
1) Use the B&D Micro Fine needles. Ask your pharmacist about them. if you haev an option, use the short ones. Insulin is supposed to be subcutaneous, which is a VERY short distance for children.

2) NEVER use the same needle twice. [Although I do for my own personal shots, I wouldn't do this to a child]

3) Rotate the injection sites. NEVER use the same site twice in a row. I get a little OCD about mine -- left thigh, right thigh, left stomach, right stomach, left bicept, start over [I am severely right handed :-)]

4) Don't jab. Use a quick but even motion to insert the needle, and to pull it out.

5) Distract her. Set her on your lap, and just before you stick her, pinch her butt [gently] with your other hand! She'll usually turn her attention to whatever-that-was, and you can then insert the needle.

6) Play Therapy. Buy some of those syringe-style baby medicine dosers, that let her use them to give shots to her favorite doll or teddy bear. Have her "explain" to the teddy bear what is going on, what is happening, bears needs shots too, it's going to sting but it will make you better, brave bear, etc. Play WITH her during this, and you might see, through play, some methods that she might find more "attractive" to her than what you are doing.

Your presumption that the insulin "burns" is probably incorrect, but it COULD be possible if she is somehow allergic. Do you ever see red or irritated spots where you inject? if so, ask you doctor for advice. You may want to change brands of insulin.

EDIT:

BTW: Injsulin pumps are a godsend for Type 1 Diabetics, but are compeletly unusable for small, pre-school children. They just do not have the self-disicipline to keep the pump and needle in place while they play. I mean, half they time they can't even keep their clothes on . . . .!


eRock
you need to associate getting the shot with something good right afterwards... like a game or a stuffed animal. relaxing the muscle is the best shot for less pain.


cosmic45
Rating
I understand that there is a numbing product available at pharmacies.
Over the counter. You apply it to the skin a certain amount of time prior to the injection. I feel for you and your daughter.


faith..hope..charity..
Don't forget to rotate the injection site and I have found the least painful spot is usually the lower part of the abdomen (provided she has a little meat there) and a 45 degree angle. :} Also make sure the insulin is okay...only good for thirty days without refrigeration and for 90 days with...but still this should not make it burn. Take care.


Noccie
Does the insulin you use come in a pen? My son found the pen to be far less painful, however, he was a teenager when we started with the pen. He's now on the pump - and that's signficantly less painful.
I have also heard of numbing type stuff too, but I forget the name of the item. Check with you pharmacy. Your diabetes nurse is also a good resource on how to deal with the pain and drama you are experiencing with the shots.
By the way - have you even talked to your local JDRF chapter about the "Bag of Hope"? If not look get in touch with them ASAP, they have a teddy bear in that bag called Rufus that may help things to be easier for your daughter. Rufus is special because he has diabetes too, and has patches where you can give insulin shots, and there's a little book in there about him. It may ease you daughter's fear and dread a little bit to have this guy with her. There's other good stuff in the bag too. You may be able to order Rufus the diabetic bear online, but I'm not sure, do a google search.


**STARR**
Rating
i don't have much to add because just about everyones answers have been great, but i do want to say this...

gary b mentioned that insulin pumps are not useful to children your daughters age. this is completely untrue. i personally know a little girl who was put on the pump just before she turned 4. it has done absolute wonders for her. check out minimed.com. i have been using a minimed pump for 9 years. this is the same one the little girl i know has. they make a harness for it, and also a lock on the pump so no one can change anything with it unless they have the "password" to unlock it. children actually adapt to the pump quite fast and easily.

good luck...i hope you consider the pump for your daughter


jennifer
Have you considered a pump to decrease the number of injections?
Also, depending on the child, some are able to learn at 3 how to do their own injections(with adult help of course), this may make it seem less painful.
are you using a new syringe/needle with each injection? If not the needle may have a spur on it causing the pain.
Rotate injection site. upper arms, thighs, buttocks, abdomen.
have her pretend her finger is a candle and blow it out while you do the shot fast.
take a good look at the insulin in the bottle, make sure it looks clear with no particulates in it.


palemalefriend
Rating
Hi Monica.

I feel so bad for your 3 year old. I take 5 shots a day, at least, and sometimes they are painful.

You already said that you leave it out a bit to warm it up. I also rotate the syringe in my fingers to warm it up.

As someone mentioned, throw any leftover insulin out after 28 days. Most are only good for a month. Most have to be refrigerated, but one of mine (Lantus) does not have to be.

Yes, you need to alternate sites. I go down one side one week and use the other side the next week. I find that the outside of the belly hurts the least, as well as the lower belly. Those are the areas where I can find some flesh to pinch.

I inject straight in. Then, after the injection, while the needle is still in, I release the pinched skin. Then I hold the skin flat and somewhat tight and quickly pull the needle out. If there is loose skin, the needle will pull at it when it's coming out, and that hurts.

There ARE some insulins that do burn. One of mine does that. I take NovoLog before meals. That has to stay in the refrigerator and only hurts if it's cold. The other one I take is Lantus. I take that in the morning and at bedtime. That one often burns like acid. I wait until the burning pain stops before I remove the needle. I thought this was strange, so I called the company that makes it to ask them about it. They told me that this was an unfortunate side effect that happens sometimes. They didn't know why. It doesn't happen each time, but often enough. If you are giving your daughter Lantus, maybe you could ask the doctor to switch you to a different type of insulin.

There are also different size needles, both in how long they are and how thick they are. I use a very short needle, which is 5/16th of an inch long. It is also a very narrow needle - 31 gauge. I think that 31 is thee most narrow you can get. If you are using anything longer, it may hurt her, so try for the shortest and thinnest.

There are 2 things about injections. 1) as I mentioned, pull the skin taut and pull the needle out fast! Do not pull it out slowly, thinking this will hurt less. That hurts more. Do it fast. 2) Never use a needle more than once! It may look like it's not bent, but if you looked at it under a microscope, you would see that it is bent and barbed after just one injection. So keep it one needle per injection. I'm not saying you are doing any of these things; just giving out pointers (no pun intended).

Make sure you do not inject close to the belly button. That is a very sensitive area. I was told to stay 2 inches away from it. She is only 3, so the distance may be less. I'd ask your doctor or Diabetes Educator.

Is it possible to have your husband or someone else distract her when you need to give her a shot? They could be playing on one side of her while you inject on the other side. If there is no one to help at those times, can you distract her with the television or with a favorite DVD? Do not tickle her or pinch her somewhere else right before injecting her or she will start to feel betrayed (she is actually) and will become suspicious of you. This can actually cause her to stop wanting to play with you physically because she won't know if she is going to get a needle.

One way we have helped little children deal with their emotions at injection time is to give them something stuffed that they can punch when the needle hurts. We don't use anything with a face because at that age they think of stuffed animals as real ones and won't like punching them, and shouldn't. But if you can find a stuffed pillow in bright colors, she can be taught to punch the pillow when it hurts, and you can spur her on by saying, hit that pillow, go ahead, hit it, give all the hurt to the pillow." Who among us hasn't punched a pillow once in a while?

The American Diabetes Association has toys for toddlers to help them deal with injections. They have stuffed animals and fake syringes. They have books to teach you how to tell you daughter to "inject" the toy animal. It lets you know what to tell her to say (which is also teaching her about herself). She may not want to do it while she is being injected at first; but you may find her doing it at other times. Eventually she may start doing it while she has to get her shot. This is a way of self-soothing; this means she is learning how to calm herself down.

I have Diabetes Type 1. It is so hard to give babies and toddlers injections of any kind. We feel we are hurting our babies, and basically we are. But it is necessary to save their lives. They will understand that later on and will even be able to give themselves their own injections or will be on the pump. The youngest child I've known who was on the pump was 6. Most are around 8; but it does vary.

There are a few good websites that you might find helpful. Here are a few of them:

http://www.dlife.com

http://www.americandiabetesassociation.com

http://www.revolutionhealth.com

http://www.yourtotalhealth.ivillage.com

I hope this has been helpful to you. I am so sorry that you have to go through this. More so, I'm sorry that your daughter has to go through this. You are being such a good mom, trying to find a way to lessen your baby's pain. I hope something works. It will get easier over time. It really will.

I wish you the best of luck.


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