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Yes I have generalised anxiety disorder also. I think diabetes makes it worse though.

Yes. Good point. If taking before diagnosis there wouldn't really be a link in that case.

Yes. It's complex. Anxiety and depression can hang around for years for various reasons and diabetes just adds to the stress.

Great reply . I've always been anxious and a strong family history of it also. I think diabetes has made it worse though. My psychiatrist tells me he has a lot of diabetic patients which made me wonder how strong the link was.

Just interested how many people with diabetes take antidepressants / anxiety meds. My doctor recently commented more diabetics are on them then we probably realise.

Yes, unfortunately I don't think many dieticians have expertise in gastroparesis- they just don't get it. My gastroenterologist just suggests small meals regularly. I don't think he really had any helpful advice either. It's the pain and the unpredictability in an already unpredictable disease...

Yes. I used to use an extended bolus when I was on the pump. It's harder now I'm back on injections. I often inject half a dose when my sugar starts to rise and then the other half a bit later if it still continues to rise. Last night I didn't even bolus at all for dinner as my sugar didn't...

I'm on novorapid for bolus. Doctor happy with that. He says just bolus after food on " bad days". It's just so unpredictable..... and painful

For those with gastroparesis do you find you need to bolus after food instead of before or with food ? I find at dinner time I often have to wait for the dexcom up arrow to appear otherwise I'll go too low. Sometimes I even wait and just correct later. It's a horrid complication and I find...

Which muscle do you use ? Arms or leg for a quick correction. I've only done it once when I was on the pump and it failed and injected into the arm muscle -- it did the trick ;)

I use the novo nordisk novofine plus 4mm. Also do you "pinch" the skin before injecting. I was taught many years ago to but with the 4mm apparently there is no need to as it is so small it would not hit muscle anyway.

I agree the 6mm do look long when compared to the 4mm. ;)

Yes I do rotate but maybe not as well as I think ;) I'll give the 4mm a go

Yes. I do rotate. But probably is worth giving the 4mm a go in my legs. :)

For those using insulin pens which size needle do you use ? Do you stick to the one size or change depending on injection site ? I use 4mm for my stomach and arms for novorapid but always use 6mm for my levemir which I give in my legs. I'm getting heaps of bruises and lumps on my legs though...

Thanks everyone for your replies. I was just curious as when I started back on injections it was 7 and 7. But I found I was going too high through the day and lower at night. Probably need to do some daytime fasting basal testing to be totally sure.

Just curious : For those who split levemir doses are your doses the same. I have 12 units at 6am and 4 units at 6pm.

Thanks so much for your reply. I was on the pump for many years which allowed a lot of freedom. Now I'm using injections again DAFNE maybe worth considering.

Thanks. I do use a new needle each time but I probably don't rotate as much as I should ;)

Thank you. Feeling reassured now :)