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ZestForLife 06-27-2012 09:05

blood and needles
 
I am experiencing issues with injections. There is blood, pain, and significant bruising. I have a problem with needles and this is making all of it even worse.
Technique issues?

fenix92 06-27-2012 16:20

What tools are you using? If vials and syringes, I suggest you shift to using a pen - there's usually no problems.

Jen 06-27-2012 16:55

Quote:

Originally Posted by ZestForLife (Post 104710)
I am experiencing issues with injections. There is blood, pain, and significant bruising. I have a problem with needles and this is making all of it even worse.
Technique issues?

What syringes are you using. Originally I used syringes with needles that were too long and too thick, which resulted in lots of bruising. I switched to BD 5/16" (8mm) 31 gauge syringes with 1/2 unit markings and that cleared up the problem. The NDC/HRI # is 08290-8440-1/328440.

Pens aren't for everyone. Although I love them as carrying devices because they don't need to be refrigerated once opened, I hate having to prime them, you cannot shoot in half units (AFAIK), and I was never sure I'd gotten the whole dose no matter how long I left the needle in the injection site. I still use pens and draw insulin into syringes. That solved all the technical issues.

Jen

marshagolightly 06-27-2012 17:10

@Jen-this is purely a curiosity question. I'm on a pump now. Formerly MDIs. What do you mean by priming a pen? I just had to screw on the needle, dial up, and shoot. Just in case I ever have to go back to shots :)

John.in.France 06-27-2012 17:21

@Jen,

Yes are we being divided by a common language?

My experience with pens was the same as Marsha's - bayonet fit for the needle, pull of the cap, dial up and find a bit of lard to push into, hold for ten seconds and done.

John

Jen 06-27-2012 18:14

I only used the flexpens for a few weeks before switching to drawing insulin into syringes, but here are the first two steps from the Novolog instructions:

Step 1: Prepare your syringe
*Expiration: Each Novolog pen should be used within 28 days once out of the refrigerator.
*Take the cover cap off of your syringe.
*Open a new needle by removing the paper tab.
*Screw the needle onto your FlexPen.
*Remove both the outer and inner needle caps.
*After the needle is in place, do an air shot before taking your injection.
Step 2: Do an air shot (Prime the needle)
1. Dial 2 units.
2. Hold the syringe with needle pointing up and tap reservoir gently to move air bubbles to top of needle.
3. Press the push button on your syringe as far as it will go until a drop of insulin appears.
Note: If your pen is new, you may need to repeat steps 1 - 3 several times before a drop of insulin appears. If you need to do this more than 6 times, donít use the syringe.

Probably new user error, but I wasted quite a bit of insulin following step 2. I guess if I'd used the pens longer I would have done what I've done with a lot of instructions related to diabetes - ignored them :D.

Jen

marshagolightly 06-27-2012 18:22

Thanks for the answer. I never had to do that. Never even read the instructions. Although my mom was diabetic and she taught me how to take my insulin :)

John.in.France 06-27-2012 18:26

Quote:

Originally Posted by Jen (Post 104783)
I only used the flexpens for a few weeks before switching to drawing insulin into syringes, but here are the first two steps from the Novolog instructions:

Step 1: Prepare your syringe
*Expiration: Each Novolog pen should be used within 28 days once out of the refrigerator.
*Take the cover cap off of your syringe.
*Open a new needle by removing the paper tab.
*Screw the needle onto your FlexPen.
*Remove both the outer and inner needle caps.
*After the needle is in place, do an air shot before taking your injection.
Step 2: Do an air shot (Prime the needle)
1. Dial 2 units.
2. Hold the syringe with needle pointing up and tap reservoir gently to move air bubbles to top of needle.
3. Press the push button on your syringe as far as it will go until a drop of insulin appears.
Note: If your pen is new, you may need to repeat steps 1 - 3 several times before a drop of insulin appears. If you need to do this more than 6 times, donít use the syringe.

Probably new user error, but I wasted quite a bit of insulin following step 2. I guess if I'd used the pens longer I would have done what I've done with a lot of instructions related to diabetes - ignored them :D.

Jen

Weird!

No instructions from the hospital or in the package of my Levemir for step 2.

Two possiblities strike me.
  1. We got newer versions of the pen mechanism?
  2. The instructions were left to the hospital to explain - and they didn't bother?
I'd like to think it was the first case, but I'm cynical enough to suspect the second!

Thanks for the information. I'll keep it in mind should I ever need to go back on the needle.

John

rudeboysti 06-27-2012 20:17

I have those same instructions on my novolog pen. I have also had 2 instances that I did the air shot and nothing came out. I tried priming a few times and nothing. Rather than change the pen, I tried a new needle and things went fine. When I have this problem, I do a 20 unit shot into the cap to make sure I am getting the correct dose.

Jen 06-28-2012 01:45

Quote:

Weird!

No instructions from the hospital or in the package of my Levemir for step 2.

Two possiblities strike me.
  1. We got newer versions of the pen mechanism?
  2. The instructions were left to the hospital to explain - and they didn't bother?
I'd like to think it was the first case, but I'm cynical enough to suspect the second!

Thanks for the information. I'll keep it in mind should I ever need to go back on the needle.

John
I think it's a cunning plot to deter the dissemination of information, and to pit us against each other.....:spy:. Hahahahaha! No wonder new inductees are so confused!

Jen


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