It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Diabetes Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-29-2006, 03:15 AM   #1
Junior Member
(female)
 
Join Date: Mar 2006
Location: UK
Posts: 49
emeraldflyer HB User
Worried about changing to from 2 to 4 injections a day

Hi. I hope you don't think that I'm having a 'whinge' but I'm feeling a bit low about my appointment with my specialist this Friday. I've been a type 1 diabetic for the past four years. I've been on a twice daily injection of a mixed long and short acting insulin which to be honest, I've never really got the hang of and my sugars are mainly quite high with some hypo's thrown in for good measure.

At my last appointment, two months ago, the doctor talked about putting me onto four injections a day, three with short acting insulin and one with long acting overnight. This makes a lot of sense and I can see that I should have a lot more control over my sugars. However, I'm basically a 'wimp' and I'm scared of the thought of four injections. It's taken me four years to get to grips with two a day. I know on Friday they are going to ask me to change my regime and it's really freaking me out. I think in my heart of hearts, I know this will be in my own best interest but the child in me just dosn't want to do it. I also worry that I wont remember to do the last injection at night as I am very forgetful and very tired last thing. I have on occasions forgotten my injection at my evening meal and thats relatively easy to deal with by comparison.

Has anyone else had the jitters over this issue or am I being a total baby over this? I know I should just get on with it, so many people on here do but I just keep thinking about it and breaking down in tears. I'm just a complete mess. I've tried contacting my diabetic nurse over the past month as she is supposed to be my first port of call, but she is never available and wont offer me an appointment to go and talk to her. At least I will be in clinic on Friday but I feel that I will just end up in tears, this is getting me down already, just thinking about it.

Please help.

 
Sponsors Lightbulb
   
Old 03-29-2006, 03:47 AM   #2
ZV7 ZV7 is offline
Registered User
(male)
 
Join Date: Mar 2006
Location: California
Posts: 55
ZV7 HB User
Re: Worried about changing to from 2 to 4 injections a day

Hi,

Sorry about what youíre going thru; and I understand how changing your routine can bring anxiety. Itís good when you first start a new regiment to write things down, your blood sugar readings from your meter as well as any injections that you have given yourself, this way you can look at your little book or pad and see whether you gave yourself a shot or not. Now you might give a shot and forget to write it down, in which case you wait about an hour and check your blood. I think itsí a good idea to always check your blood before giving yourself a shot of the fast acting insulin. You are probably going to be on a sliding scale with the fast acting insulin anyway; which may mean small dosages.

I also take the long acting insulin twice daily and short acting insulin on a sliding scale; as I need it, and I also take a pill called ďMetaforminĒ which makes my body more insulin sensitive. Iíve been on allot of different routines over the 9 years Iíve been a diabetic; so I know new routines are hard to get used to.

Try not to think about it, and when you see your doc let them know that you are nervous about the changes, and maybe your nurse can call and check up on you periodically by telephone the first couple of weeks when you start the new routine. It probably wonít be as bad as you think; we sometimes think that things are going to be worst than they are. Itís the anticipation that drives us batty and you still have a couple of days before Friday, so try and stay busy so you wonít dwell on this, and before you know it your new routine will become and old routine, and youíll be used to it.

Hang-in thereÖ

 
Old 03-29-2006, 01:04 PM   #3
Senior Veteran
(female)
 
Join Date: Oct 2001
Location: MA
Posts: 3,526
SamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB UserSamQKitty HB User
Re: Worried about changing to from 2 to 4 injections a day

Hi there Emerald Flyer,
The only thing I would ask you is this: Can you remember when you were first diagnosed and how you felt about having to do two shots a day? I'll bet you were scared, horrified, and thought you'd never get used to it...right? Now, it's four years later and while I understand you still don't like shots, you've probably become pretty accustomed to the two a day you've been taking, haven't you?

The same thing will happen with the new regimen. Sure, it'll seem awful at first, but after a while you'll become quite accustomed to it. The fact that you'll probably feel one heck of a lot better will also help. But, if thinking of it this way doesn't help, then perhaps you've gotten yourself so anxious that you might need to ask for some help in dealing with the anxiety?

From your spelling of "whinge" (we say "whine"), I'm assuming you're in the UK? I don't know what they offer over there, but if you're going on Lantus and humalog or Novolog, you'll need to learn to count carbs, and you should be seeing a dietician for help with that. Also, are there any diabetes support groups available? Don't worry about being a wimp...ask for whatever help you need to get through this! And you WILL get through it after all...maybe kicking and screaming all the way, but you will survive. Come on back and whinge all you want...this is the place for it!

Ruth

 
Old 03-29-2006, 01:05 PM   #4
Inactive
(male)
 
Join Date: Sep 2004
Location: Auckland, New Zealand
Posts: 154
Mark Munday HB User
Re: Worried about changing to from 2 to 4 injections a day

Quote:
Originally Posted by emeraldflyer
.... Has anyone else had the jitters over this issue or am I being a total baby over this? .....
First of all, congratulations on getting through the first four years of being a T1! You have already got over the biggest hurdle. You just need to get more comfortable with actively managing your condition using the available tools. This will be an ongoing process. And you need to get into a positive frame of mind about it.

The prospect of having an additional 2 injections a day is not pleasant. And I don't think any diabetic will disagree with that. So you need to focus on the payback, or what having these injections will do for you. They will give you the kind of control over your blood sugar levels that is quite liberating. You will be able to inject as much insulin as you need to cover the meals you want to eat. Your blood sugar levels will become a lot more stable. And you will have a lot more flexibilty in your day-to-day choices. You can use this opportunity to make living with T1 diabetes al lot easier and a lot more fun.

Actively managing your blood sugars takes a bit of getting-used-to. And you will have to work with your doctor and CDE to make this happen. Also, make things easier for yourself by using a decent injecting device. Pens are much easier to use than syringes. And Novo make the best pens. Like you, I sometimes have difficulty remembering if I have had my shot. This is in spite of having done this for 28 years! So I use an Innovo pen, which shows on a display how many units I injected the last time and how many hours ago it was. So I can see at a glance if I have had my shot and whether the amount was appropriate for what I have just eaten.

It all boils down to getting into a habit that works for you. I inject my Lantus in the morning. I have got into the habit of testing my blood sugar and injecting the Lantus before my shower. And I never forget.

So don't stress over this. Take things one step at a time. And look for ways to make things work for you.

Cheers,

Mark

 
Old 03-30-2006, 10:28 AM   #5
Junior Member
(female)
 
Join Date: Mar 2006
Location: UK
Posts: 49
emeraldflyer HB User
Re: Worried about changing to from 2 to 4 injections a day

Thank you so much for those replies. Everyone was so kind and I guess thats because you all understand so well. I've tried talking about my fears to my family but they tend to think that this is what life dealt me, therefore I should just get on with it. Not so easy. But all that you guys have said here, makes sense. I feel a little more positive and I know that whatever happens tomorrow, I will come through it and live to tell the tale, so no need to get it all out of proportion. It's just a couple of extra jabs thats all isn't it. I hope I feel this brave in the morning!

Thank you all so much.

 
Old 04-04-2006, 10:35 AM   #6
Junior Member
(female)
 
Join Date: Mar 2006
Location: Newcastle
Posts: 18
Lauralouise HB User
Re: Worried about changing to from 2 to 4 injections a day

Hello, I've had diabetes since i was 8 (i'm 16 now) and last year i changed onto this system too, i was used to having 2 needles for 7 years and it was really scary changing it and i was really worried about little things like injecting in school. But don't worry it's so much better for you and it's so easy after the first couple of weeks, the hardest part is just working out how much insulin you need. Don't be scared to change it around by yourself. When i first went on this they were giving me 54units of slow acting at night and i knew straight away it was too much and eventhough i kept going low in the night they wanted me to have more because i was a bit too high through the day but i didn't, i reduced it a lot, now i'm on 31 units (big drop) and it works out much much better. it'll probably be a bit hard for the first week or so because you'll have blood sugars up and down but it gets so much easier and once you've worked everything out it's great, and you almost feel normal because you can practically eat when you want and what you want.
Can i ask how old you are?
__________________
~When you smile at me the way you do, oh, my,goodness!~

Last edited by Lauralouise; 04-04-2006 at 10:36 AM.

 
Old 04-04-2006, 11:28 AM   #7
Junior Member
(female)
 
Join Date: Mar 2006
Location: UK
Posts: 49
emeraldflyer HB User
Re: Worried about changing to from 2 to 4 injections a day

Hi LauraLouise. Thank you so much for that reply. You know, you made me feel so inspired as you are already dealing with something that I find very scary. And to top it all, you are just 16! I'm 40 years old and feel very humbled! I went to my specialists appointment last Friday as I mentioned in my first post and just as I thought, they have told me to start on the four injections a day. But I have a slight reprieve as I have to speak with the diabetic nurse before starting the new regime and she is on annual leave at the moment and wont be back to work until Thursday..... breathing space! But, yes, I am going to do it. In a way I just want to get started as I know its all inevitable now and if it is going to make me feel better, then I'd rather get it out of the way as soon as possible. But the circumstances are out of my control at the moment. I still worry that I will forget that last injection of the day (I just know I will) but I'm hoping I will get into some sort of routine in time.

Can I ask.... how much better are your blood sugars now that you have changed from 2 to 4 jabs a day? Was the effect instant?

Once again, thank you for taking the time to help me.

 
Old 04-04-2006, 04:56 PM   #8
Senior Veteran
(female)
 
Join Date: Dec 2004
Posts: 916
blondy2061h HB User
Re: Worried about changing to from 2 to 4 injections a day

I take a shot everytime I eat. It works best. It gives me freedom to eat what I want. It gives me freedom to eat when I want. And it's a step toward using a pump for me.

2 shots a day very rarely works for people with type 1 diabetes, so I'm glad you are making the move to 4 shots a day. I think you will find it liberating.

As for injection pain. Injections shouldn't hurt. If they do, you should make sure your technique is correct, try different sites, and try different syringes.

 
Old 04-07-2006, 11:27 AM   #9
Junior Member
(female)
 
Join Date: Mar 2006
Location: Newcastle
Posts: 18
Lauralouise HB User
Re: Worried about changing to from 2 to 4 injections a day

Quote:
Originally Posted by emeraldflyer
Hi LauraLouise. Thank you so much for that reply. You know, you made me feel so inspired as you are already dealing with something that I find very scary. And to top it all, you are just 16! I'm 40 years old and feel very humbled! I went to my specialists appointment last Friday as I mentioned in my first post and just as I thought, they have told me to start on the four injections a day. But I have a slight reprieve as I have to speak with the diabetic nurse before starting the new regime and she is on annual leave at the moment and wont be back to work until Thursday..... breathing space! But, yes, I am going to do it. In a way I just want to get started as I know its all inevitable now and if it is going to make me feel better, then I'd rather get it out of the way as soon as possible. But the circumstances are out of my control at the moment. I still worry that I will forget that last injection of the day (I just know I will) but I'm hoping I will get into some sort of routine in time.

Can I ask.... how much better are your blood sugars now that you have changed from 2 to 4 jabs a day? Was the effect instant?

Once again, thank you for taking the time to help me.

Well they're better but i had a lot of problems when i first changed, having the lantus at night time didn't work for me and i ended up being low through the night and high through the day, so they had to change it all and i had it in the morning instead, which works better for me. Don't worry about that though, aparantly it's rare for that to happen. My bloods are better than what they were before but i'm still not happy with them at the minute because i don't think i have the right insulin-carbohydrate ratio. I read a book about diabetes and it was talking about eating low carb to get blood sugar levels close to normal and i've been trying it and it seems to work very well. My bloods are always a little strange though because i'm not always hungry so i miss a lot of meals but i'm on the perfect dose of lantus now and it doesn't matter if i miss a meal, my blood will just stay the same and not drop which i'm happy about. And the good thing about eating this way is if you don't want to eat supper you don't have to and you can eat basically anytime you want as long as you inject for it and if you don't want to eat then it's okay not too as well. I like this way much better and it makes me feel more like a normal person when i go out with my friends. I have really nice friends though that understand completely, one of my friends has even learnt how to do my needle for me incase she needed to sometime for an emergency. I think you'll find it much better, but even if it doesn't work for you, you could switch back, that's what they always told me because i was really really scared when i was changing. I hope i've helped you! Speak to you soon xx
__________________
~When you smile at me the way you do, oh, my,goodness!~

 
Old 04-09-2006, 04:07 AM   #10
Junior Member
(female)
 
Join Date: Mar 2006
Location: UK
Posts: 49
emeraldflyer HB User
Re: Worried about changing to from 2 to 4 injections a day

Yes, you really have helped and I thank you for that. Regarding the low carb way or eating, I'm trying that at the moment too, but I'm having some varied blood sugar readings. Sometimes I can't control the highs at all and then I just go into hypo's. But hopefully when I start the four jabs a day, I'll have better control and all will fall into place at last. Fingers crossed.

Thanks once again x

 
Old 04-09-2006, 04:28 AM   #11
Newbie
(female)
 
Join Date: Apr 2006
Location: new zealand
Posts: 5
scared otta my HB User
Smile Re: Worried about changing to from 2 to 4 injections a day

Quote:
Originally Posted by emeraldflyer
Hi. I hope you don't think that I'm having a 'whinge' but I'm feeling a bit low about my appointment with my specialist this Friday. I've been a type 1 diabetic for the past four years. I've been on a twice daily injection of a mixed long and short acting insulin which to be honest, I've never really got the hang of and my sugars are mainly quite high with some hypo's thrown in for good measure.

At my last appointment, two months ago, the doctor talked about putting me onto four injections a day, three with short acting insulin and one with long acting overnight. This makes a lot of sense and I can see that I should have a lot more control over my sugars. However, I'm basically a 'wimp' and I'm scared of the thought of four injections. It's taken me four years to get to grips with two a day. I know on Friday they are going to ask me to change my regime and it's really freaking me out. I think in my heart of hearts, I know this will be in my own best interest but the child in me just dosn't want to do it. I also worry that I wont remember to do the last injection at night as I am very forgetful and very tired last thing. I have on occasions forgotten my injection at my evening meal and thats relatively easy to deal with by comparison.

Has anyone else had the jitters over this issue or am I being a total baby over this? I know I should just get on with it, so many people on here do but I just keep thinking about it and breaking down in tears. I'm just a complete mess. I've tried contacting my diabetic nurse over the past month as she is supposed to be my first port of call, but she is never available and wont offer me an appointment to go and talk to her. At least I will be in clinic on Friday but I feel that I will just end up in tears, this is getting me down already, just thinking about it.

Please help.

 
Old 04-09-2006, 04:33 AM   #12
Newbie
(female)
 
Join Date: Apr 2006
Location: new zealand
Posts: 5
scared otta my HB User
Re: Worried about changing to from 2 to 4 injections a day

Dont worry do it, Im 39 yr old female only had diabetes two yrs I inject 3x act rapid morn lunch and dinner ( like you have eaten dinner then realized) its hard when you havent been a diabetic all of yr life, then protophane at night, have highs and lows nothings got a pattern, they call me brittle, didnt do me any good but might you. Im thinking pump but Im a scaredy cat too!!!!! Hey where in new zealand are u, cause my diabetes nurse was absolutely useless too,

Last edited by scared otta my; 04-09-2006 at 04:35 AM.

 
Old 04-09-2006, 02:35 PM   #13
Junior Member
(female)
 
Join Date: Mar 2006
Location: UK
Posts: 49
emeraldflyer HB User
Re: Worried about changing to from 2 to 4 injections a day

Hi there. It's a pleasure to meet someone else who is having problems with their nurse! My nurse was due back off annual leave on Thursday but she hasn't bothered to get back to me yet and I've left messages. I'll try again tomorrow. I'm not actually in New Zealand, I'm in England but it sounds like the diabetes care teams are as bad as each other in both countries! Like you, my sugars are either high or low with no happy medium. I'm hoping for a better result with the four jabs a day but I'm not sure what lies ahead. Regarding the pump, that might be a good idea and I can definately identify with your hesitation over the issue. Do you have to pay for your supplies in New Zealand? Would you have to pay for a pump? In the UK we get all our diabetic supplies - medicines and needles and pumps/syringes - all free. Thats one good thing about this country I guess. If you don't have to pay for a pump then maybe you should get one and give it a try. You can always go back to your injections if its not for you. But I know it's a big step so don't let me push you into it!

I wish you well and hope you get better control of your sugars in the near future! Best wishes x

 
Old 04-09-2006, 04:20 PM   #14
Newbie
(male)
 
Join Date: Apr 2006
Location: GOLDSBORO, NORTH CAROLINA, USA
Posts: 6
POWERCHEM HB User
Re: Worried about changing to from 2 to 4 injections a day

Have you considered going on an insulin pump? I was injecting insulin 4-5 btimes daily prior to going on an insulin pump. My A1C was never down to 7 with the injections but my last A1C was 6.2. I also had problems remembering if I had taken my injections. With an insulin pump, it will remember when you took the last bolus( injection). You also eliminate all injections. About every 3-5 days you do have to insert a new infusion set but that is painless.

Larry

 
Old 04-12-2006, 06:09 AM   #15
Member
(female)
 
Join Date: Apr 2006
Location: uk
Posts: 54
lesleykev HB User
Wink Re: Worried about changing to from 2 to 4 injections a day

hi emeral i have been type 1 diabetic since i was 3 im now almost twentythree
i was on twice a day mixed injections up until about a year ago i like you had mainly high sugars but the doctors main concern was my hba1c what is yours btw?
it does take time and some gettin used to altering your regime but u will get there i injected my own insulin from age five ,
i am a firm believer in four times a day injections to get better control before my insulin injections got changed i miscarried a baby because of my high sugars and when they suggested more injevtions i was horrified at first but i wasnt going to let the diabetes control me because now i control the diabetes now my hba1c is 6.4% and i feel much better for it.
keep ya chin up you can do it

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Update on today's PM appointment - changing title kim46 Pain Management 4 06-17-2008 05:26 AM
Symptoms changing and moving, anyone else? yvette777 Back Problems 12 12-13-2006 01:45 PM
changing dr.s --they just don't listen ICC Pain Management 21 09-24-2006 06:22 AM
Worried sick.....needing prayers roses4evver Lupus 9 07-17-2006 08:08 PM
worried about my dad lilmo123 General Health 13 04-10-2006 07:46 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Actos
Amaryl
Avandia
Glipizide Glucophage
  Humalog
Lantus
Metformin
Novolog
Potassium




TOP THANKED CONTRIBUTORS



Cora1003 (68), SamQKitty (54), JJ (34), Azurah (17), 92261 (12), rosier (6), bdrunner79 (5), NewdestinyX (5), ladybud (5), sunshine12 (5)

Site Wide Totals

teteri66 (1136), MSJayhawk (941), Apollo123 (855), janewhite1 (823), Titchou (769), Gabriel (743), ladybud (667), sammy64 (666), midwest1 (654), BlueSkies14 (610)



All times are GMT -7. The time now is 10:01 AM.



Site owned and operated by HealthBoards.com™
Copyright and Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!