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T2 need to go on insulin.
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<blockquote data-quote="Jenny15" data-source="post: 1799409" data-attributes="member: 196992"><p>I don't know anything about Sitagliptin so am unable to comment on whether it is like Glic and may be doing more harm than good. </p><p></p><p>If your doctor believes you have insufficient natural insulin then yes you definitely need to inject insulin. Most T2s are not in this situation, so I didn't mention it. There are blood tests they can do to measure insulin levels in a situation like yours. </p><p></p><p>If the above is true then there probably aren't any questions you need to ask the nurse on Tuesday that you haven't already thought of. Once it is agreed that you are going to start insulin, the rest is very straightforward. </p><p></p><p>Write down this list of things you need prescribed or otherwise to obtain somehow: </p><p></p><p>Script: (Nurse should know all this but check she didn't forget anything) </p><p>-Insulin (usually 2 pens to start with, there are various types of insulin) </p><p>-Disposable needles for pens. 4mm is best. </p><p>-BG meter and plenty of test strips </p><p></p><p>(even if you have your own meter, because their free one may be different. Most meter kits come with a lancet pen and plenty of spare lancets but make sure you have enough. You should not inject insulin or drive a car within 24 hours of taking it unless you have the means to test your BG, which means a working meter and plenty of unexpired test strips. If you run out of lancets you can use something else but it hurts a lot.) </p><p></p><p>A sharps bin that you can hand in when full and get a new one. (I am using a homemade bin since I would have to pay for the service). </p><p></p><p>Written info about using insulin, including dealing with hypos, sick days, and the laws about driving. (Very important) </p><p></p><p>Jellybabies or some other suitable sugar source for treating hypos. </p><p></p><p>Phone numbers for your nurse(s) and an after hours helpline if applicable. </p><p></p><p>I always have my meter and my jellybabies with me when I leave the house. I am a bit OCD about the possibility of someone crashing into my car, and then I would need to prove I wasn't having a hypo). </p><p></p><p>When the nurse shows you how to inject, you don't need to inject insulin there and then - she should have demonstration pens that only have saline in them. </p><p></p><p>I recommend planning your first insulin shot for the evening meal just in case it makes you dizzy and lightheaded for 4 hours like it did me. This seems to be rare.</p></blockquote><p></p>
[QUOTE="Jenny15, post: 1799409, member: 196992"] I don't know anything about Sitagliptin so am unable to comment on whether it is like Glic and may be doing more harm than good. If your doctor believes you have insufficient natural insulin then yes you definitely need to inject insulin. Most T2s are not in this situation, so I didn't mention it. There are blood tests they can do to measure insulin levels in a situation like yours. If the above is true then there probably aren't any questions you need to ask the nurse on Tuesday that you haven't already thought of. Once it is agreed that you are going to start insulin, the rest is very straightforward. Write down this list of things you need prescribed or otherwise to obtain somehow: Script: (Nurse should know all this but check she didn't forget anything) -Insulin (usually 2 pens to start with, there are various types of insulin) -Disposable needles for pens. 4mm is best. -BG meter and plenty of test strips (even if you have your own meter, because their free one may be different. Most meter kits come with a lancet pen and plenty of spare lancets but make sure you have enough. You should not inject insulin or drive a car within 24 hours of taking it unless you have the means to test your BG, which means a working meter and plenty of unexpired test strips. If you run out of lancets you can use something else but it hurts a lot.) A sharps bin that you can hand in when full and get a new one. (I am using a homemade bin since I would have to pay for the service). Written info about using insulin, including dealing with hypos, sick days, and the laws about driving. (Very important) Jellybabies or some other suitable sugar source for treating hypos. Phone numbers for your nurse(s) and an after hours helpline if applicable. I always have my meter and my jellybabies with me when I leave the house. I am a bit OCD about the possibility of someone crashing into my car, and then I would need to prove I wasn't having a hypo). When the nurse shows you how to inject, you don't need to inject insulin there and then - she should have demonstration pens that only have saline in them. I recommend planning your first insulin shot for the evening meal just in case it makes you dizzy and lightheaded for 4 hours like it did me. This seems to be rare. [/QUOTE]
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