Injection Sites

Here is a good guide to possible injection sites - https://sites.google.com/site/diabetesmapp/injection-sites-index

There are a lot to choose from, even if you are focusing on thighs and abdomen, you would have to try not to inject into the exact same place every time, each time you inject, try to make sure it's at least an inch away from the last time - that's what site rotation means.

Have you considered basal testing to see whether your background insulin is doing its job?

So the job of your basal insulin is to to keep you flat (ish) without the need for carbs to bring you up, or fast acting insulin to bring you down, so you test it by seeing if you stay vaguely in the same place without carbs or active fast acting insulin.

Here's some information on basal rate testing - https://mysugr.com/basal-rate-testing/

It's quite difficult (for me anyway) to interpret whether the information you posted above tells you anything much about your basal rate, because you are taking in carbs and novorapid so it's hard to tell what's doing what - it's good to split it out and focus on one thing at a time.

So overnight, when presumably you had no carbs or fast acting on board, you went up be 3mmol/L. That's actually pretty much within range for a basal rate. Really you want to vary by not too much more than 2mmol/l (with no carbs or fast acting for about 6 hours).

The other thing to consider with basal, as well as the dose itself, is when to take it and whether that covers the whole day - levemir lasts approx 12 hours, so most people take some at night and some in the morning. Lantus lasts approx 18 hours, so might run out in the afternoon if you take one shot at night.

I would suggest doing a basal test as a starting point.

If your basal test is showing you hypo on one of the two hourly checks through the night, you should stop the test and treat the hypo. Don't let yourself stay hypo for the sake of a basal test. It's frustrating, but you can repeat the basal test, if the testing has shown you going hypo overnight you would consider a reduction in basal before testing again to see how that works. Bear in mind that changes to lantu take a few days to kick in, so let it settle before repeating the test. Getting up every two hours to check is a pain in the ...neck but it might be worth it to sort out your basal rates.

I did ask to go onto basal insulin they said i was fien on the fast acting humilog.... maybe they change later i dunno?

Hi
What size needles do you use?
I have the nanopass 4mm ones and would recommend them to anyone.
I still marvel at them as i'm an old hack and remember the needle sizes from 40 years ago.

Good luck

Tony

Also struggling with injection sites, nurses have said all areas are pretty much exhausted and getting v high readings most of the day have consultant to talk about pump but I’m scared any advice please anyone? Thanks in advance

mazza31 said:

Also struggling with injection sites, nurses have said all areas are pretty much exhausted and getting v high readings most of the day have consultant to talk about pump but I’m scared

any advice please anyone? Thanks in advance

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Hi @mazza31 , you have posted your question on a very old thread. Nothing wrong with that, but you'll likely get more responses if you start a thread of your own.
Good luck!

mazza31 said:

Also struggling with injection sites, nurses have said all areas are pretty much exhausted and getting v high readings most of the day have consultant to talk about pump but I’m scared

any advice please anyone? Thanks in advance

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I'm always injection into my abdomen, it's just too convenient but it's very lumpy so am thinking of going for a pump to hopefully get rid rid of the lumpy tissue, I know there's a name for it but can't remember it.

PaulAshby said:

I know there's a name for it but can't remember it.

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Lipohypertrophy.

Antje77 said:

Lipohypertrophy.

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Antje77 said:

Lipohypertrophy.

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That's the one