My First Insulin Injection™

April 8, 2007 at 3:47 pm Leave a comment

Friday night I injected my very first dose of insulin. Before dinner I decided to check the Lilly and Humalog sites one last time for some updated Luxura information and found a video tutorial on how to use the Luxura. Fabulous – the video was excellent – clear, easy to follow, and almost as good as having someone in the house showing me what to do.

After carefully (or so I thought) calculating the carbs in the meal, I rewound the tutorial, had my husband put the pizza in the oven, then went for it.

Humapen Luxura dose dial
Closeup of the dose dial
Humapen Luxura instruction video
My instructor for the evening
equipment spread
Spread of equipment
Priming the pen
Priming the pen
Injecting and counting to five
Injecting and counting to five
Success!
Success (and a little red dot)!

Since I knew my food was cooking and the clock was ticking, I had no problems pushing the needle in. Once it was over I did have that kind of post-adrenalin rush shakey/cold-sweat feeling, but otherwise was A-OK. Simple as pie and didn’t hurt one bit.

I only wish that calculating the dose was as easy as administering it. After five pre-meal injections, I have still not been able to replicate the excellent one-hour post-prandial BGs that Starlix gave me. I just have to be patient and remind myself that it takes time to figure out insulin/carb ratios. I don’t like spending the day with post-meals in the 150s-200s and resting BGs in the 110-120s instead of my usual constant 80s and 90s though – it makes me anxious and physically tired. One thing I’m noticing is that whatever my BG is at the 1 hour mark, it will be at the 2 hour mark, which is discouraging – is the Humalog even doing anything? Edit: I’m also seeing my BG hit a good target at one hour, then rise up to 130-150 at the two-hour mark. 😦

I’m not sure if the error is in my a) timing b) carbohydrate counting or c) insulin to carb ratio. Right now I’m using 1 unit per 20 carbohydrates, which so far doesn’t seem to be enough. I’m also unclear on whether I’m supposed to cover proteins – my PA didn’t mention it, but Dr. Bernstein does.

I had one low on Saturday one hour after dinner (65), which I treated with three dex-4 glucose tablets per the dietician’s “rule of 15” instructions. I waited 15 minutes and tested again to find it had doubled my BG – yikes! Next time I try ONE tablet and wait 15 minutes.

So far I really like the pen. It has a nice weight and feels like it is built to last. The only thing I dislike about it for now is having to waste two units of insulin to prime the pen before every dose. Squirting 2 units into the air is also a bit messy – what happens if insulin gets on your furniture? Clothes? Floors?

Wish me luck (and patience) getting this whole dosing thing down straight.

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Entry filed under: carb counting, counting carboyhdrates, diabetes, humalog, humapen, insulin, insulin pen, MODY.

I’m so bleeding edge Lab Rat XS

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