The First Time I Self-Injected Insulin

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This blog post was originally published on February 9, 2019, on Hugging the Cactus. I’m sharing it again today because it’s a great reminder that trying new things (in terms of both diabetes and life in general) can be scary but definitely worth it. Oh, and that I have a really great dad. Read on for more…

The first time I self-injected insulin, I was absolutely terrified at the mere thought of it.

Since I’ve never really minded needles that much, you’d think that self-injecting would be a cinch for me. That couldn’t be further from the truth, at least for the first few times that I had to do it.

It goes back to one endocrinologist appointment when I was nine, maybe ten years old. My doctor and my parents were talking about how I was reaching an age where I should start to take on a little bit more responsibility in terms of my diabetes care. I don’t remember whether my endo or my parents suggested it, but one of the two parties said that a good starting place would be to start giving myself my own insulin.

Initially, I protested. I hated the idea. But I warmed up to it when my parents reassured me that they would check the syringe for me before I stuck it into my skin. At this point in time, I’d practiced drawing up my own insulin dosages. I’d pass the syringe along to my mother or father for the actual injection. So I had the first step in the process down pat, and it only made sense for me to put two and two together and do it all independently.

Since I was hemming and hawing over the prospect, though, my endo had the brilliant idea to practice on my father with a saline injection right then and there, given that he was willing for me to do it. As he rolled up his sleeve, I grinned wickedly (I was annoyed with him for some trivial reason that day) and waited while my doctor prepared the saline injection. As she brought it over, I panicked a little, and I must’ve asked two or three times whether it was actually safe for me to do this. Because even if I was irritated with him, for whatever stupid thing it was, I didn’t actually want to hurt him.

Once I was adequately assured that the injection would be harmless, I took the syringe into my hand, took a deep breath, and stuck it into my dad’s arm. I remember pushing down on the plunger slowly, and my dad sitting in the chair, totally composed and un-bothered by the sensation. When I took the needle out of his arm, I exhaled loudly, not realizing that I had been holding my breath the whole time. What can I say, it was a nerve-wracking feeling. It’s not every day that you learn how to inject yourself, or someone else for that matter, with a syringe.

Over the course of the next week or two, I practiced my new skill on oranges supplied to me courtesy of my parents. With each practice injection, my confidence grew and I realized that it wasn’t that scary. I would press the orange against my leg or my arm, pinch at its peel, and give it an injection of salt water – super quick, super easy.

In no time at all, I felt brave enough to give myself my first self-injection. Just like I did with my dad in the doctor’s office, I breathed deeply before plunging it into my leg, exhaling only when I was done. And I felt the satisfaction of having done it on my own, which was sweeter than I thought it would be.

Working up the courage to self-inject is just one example of many experiences I’ve had with diabetes and being afraid to try something new. Whether it was trying a CGM for the first time or transitioning to a pump, each new thing I introduced to my diabetes care and management routine scared the hell out of me at first. But just like I proved to myself that self-injecting was nothing to be afraid of, I’ve shown myself time and time again that new things for diabetes aren’t always so bad.

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Diabetes Hurts (Sometimes)

“Gimme a sec, I’m multitasking right now…owwwwwww!”

I was talking to my boyfriend on the phone and changing my Dexcom sensor at the same time when I was caught off-guard by (and yelped in surprise at) the sharp sting of the sensor’s needle plunging into my arm. It was a sting that evolved into a burn that lasted a solid 24 hours, much to my discomfort.

Examples of just a few of the many needles that I’m constantly poking myself with.

People often ask me whether or not my diabetes devices hurt. The answer is almost always no, because I’ve grown accustomed to the constant pricks and pokes. But once in a blue moon, I have a sensor or pod insertion that hurts so badly that my eyes well up with tears or I have to deal with a night or two of uneasy sleep, because it aches any time I roll over onto the stinging site.

It doesn’t matter that I’ve had at least 30,000 (yes, I did the math) shots and site changes over the years – diabetes still hurts, sometimes, and that’s just talking about the damage it does physically.

Diabetes hurts mentally, too, though that type of scarring is a whole lot more difficult to quantify.

The bottom line? Diabetes doesn’t hurt all of the time, but on the rare occasions it does, it’s a painful reminder that this is just the way of life for people like me who’ve got no other choice than to deal with it.

Rolling with the Punches (and the High Blood Sugar)

I just wanted a nice dinner out on New Year’s Eve…but diabetes – or rather, my diabetes devices – had another plan in mind.

You see, that’s when my brand-new pod decided to stop working properly, leaving me no choice but to deliver insulin via syringe in the middle of a fancy restaurant.

Hence, my unamused expression in the following photo.

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Shooting up like the diabadass I am.

On the one hand, it was irritating to deal with, especially since my malfunctioning pod delivered high blood sugar to me in lieu of insulin. But on the other hand, what else could I do except roll with the punches? After all, it was New Year’s Eve – the final night of 2018. I was NOT about to allow diabetes to ruin it for me.

So I left my frustration and dismay at my high blood sugars at home, where I first realized there might be something wrong with my pod, and did my best to maintain an upbeat attitude throughout dinner. Yes, I was checking my CGM often, but I also remained engaged in conversation with my dinner companions (thanks for that meal, Mom and Dad). I took comfort in the knowledge that I was prepared with a vial of insulin and syringes should my blood sugar stay high in spite of my aggressive boluses. And when it did indeed climb into the 300s, I calmly set down my fork and knife, fished a syringe and my insulin from my backpack, drew up eight units, and rolled up my sleeve to inject right then and there. It felt kind of weird to “shoot up” in the middle of the dining establishment, but I didn’t have much of a choice. I could’ve gone to the restroom, but I knew that the lighting would be bad – at least I could have assistance from my parents by injecting at the table (again, thanks Mom and Dad, the cell phone lights came in clutch in this situation).

As I pushed down on the syringe’s plunger, I vaguely wondered whether any restaurant patrons were watching and wondering what the actual eff I was doing. I was self-conscious about it for a hot second, but I got over it because I knew I was doing what needed to be done.

I was rolling with the punches, high blood sugar and all, because it was the best thing to do for my body and my mind. Plus, I really got to stick it to my diabetes by refusing to let it spoil my night, and to me, that was much sweeter than the cheesecake my mom and I split for dessert.

Memory Monday: Cloudy and Clear

One Monday per month, I’ll take a trip down memory lane and reflect on how much diabetes technology, education, and stigma has changed over the years. Remember when…

…it was a thing to mix insulin?

Yup, I’m referring to the days of cloudy and clear insulins – also known as NPH and Regular, respectively (insert corny Neil Patrick Harris joke here). Oh, you don’t know what I’m talking about? This is going back at least 15 years, probably more like 20, to when short-acting and long-acting insulins needed to be mixed in order to avoid having to take two separate shots. I only vaguely remember mixing my insulins, but here’s what sticks out in my memory about the process:

  • It was always “clear before cloudy” – the Regular insulin had to be drawn up in the syringe first to avoid getting any of the cloudy insulin into the clear vial.
  • The cloudy insulin needed to be rolled between the hands before inserting a syringe into it…I can’t remember why. Maybe to help bring it to room temperature, or make sure it was adequately mixed?

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I definitely do not miss the days of filling these bad boys with two different kinds of insulin.

  • Drawing the insulins into a single syringe was nerve-wracking as hell. Precision was everything.
  • Air bubbles! They ruined everything!

I certainly don’t miss the tedious process of having to draw up insulin in such a careful, precise manner. If only I’d known how much easier an insulin pump would make my life sooner…

…but I guess that just makes me appreciate my pump more.