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Does injection site matter? Yes, for my 3-year-old.

Discussion in 'Parents of Children with Type 1' started by Gail, Nov 2, 2011.

  1. Gail

    Gail Approved members

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    I changed my 3-year-old dd's Novolog injection site from back of arms to thighs 3 weeks ago and have noticed a huge difference in her blood sugars--they're much more stable and easier to control. She has had horrible variation in her blood sugars for much of the time since diagnosis a year ago (like 300s to 60s daily and 400s to 40s more than once weekly!), though I've been able to keep her A1cs in the 6.8-7.1 range. Now I'm able to keep her bg measurements from upper 200s to 70s daily, with variation from 300s+ to 50s a few times weekly. So much better!

    I always have injected Lantus in her thighs. She has big problems with bottom injections, stemming, I think, from our unsuccessful trial with the pump. Her injection sites continually got inflamed, which hurt her and lead to very inconsistent insulin absorption, so I stopped pumping after 3 mo.

    I read about the difference in insulin metabolism when it's injected into muscle as opposed to subcutaneous fat, and it's metabolized more quickly in muscle, leading to lows post-injection followed by highs. My source said to watch for frequent bruising as a sign of intramuscular injection. And I know that my daughter is fairly thin, so the back of her arms doesn't have much fat. Anyway, it worked for me!
     
  2. thebestnest5

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    Yes, injection site can matter. Insulin injected into the muscle will peak faster, and not last as long. Also, insulin injected into an area that is near a muscle, can peak faster if the muscle is used, such as legs and running.

    Our ped endo wanted Lantus given in the buttocks due to a more stable action when given in that area.
     
  3. Butterfly Betty

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    We can't do them in the back of Sophie's arms,either. For some reason, that spot doesn't work as well for as her tummy does.
     
  4. Gail

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    Maybe I'll try Lantus in the bottom again. She hates it, but I'm the grownup here :)! Nice to know that others of you have found variability in insulin site absorption . . .
     
  5. emm142

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    It really matters for me, too. Abdomen works best, and arms work well, too. I can't really do thighs, because I go low as soon as I walk anywhere. :eek: And buttocks have never worked for me - insulin just doesn't seem to absorb well there
     
  6. Mommy For Life

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    I wish I had read this post before DD's morning injection! For the last month plus she has put up a big fuss about only doing injections in her arms...it is a control thing that I didn't have the energy to fight with her about. Last night we discussed the importance of moving around the injection sites. This morning we did the thigh. I hope she doesn't go low. Any suggestions on how I can encourage her to do her tummy? We have yet to get her to take a shot there...let alone the bum!
     
  7. Butterfly Betty

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    Well, for Sophie it was not being able to do them in her arms anymore. She just wasn't getting the results from her arms as she does with her tummy. I still have to get on her to move her sites around better, but it's a process. Now, she does her Levimer in her thighs, and occasionally in her bum, but not often. She has a hard time doing them and prefers to have that bit of control so I don't fight it too much.
     
  8. SFGingerBeerSoda

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    Prior to going on the omnipod we had the same issue. We jokingly made up "butt day" but it worked. Every Saturday & Sunday was "butt day". Once we got off the arms/thighs and tried a new spot we were slowly able to get a rotation going. For DD it was fear and making a joke out of it really helped. We never did get her to use the tummy. They used the tummy as a learning site in the hospital and for whatever reason it is a no zone to this day :)
     

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