Three Choices for “Dosing” Insulin

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Fear of needles is always one of the main reasons why people don’t want to switch to insulin. “Smaller, thinner needles cause much less pain,” explains Martin J. Abrahamson, M.D., Medical Director at the Joslin Clinic and Associate Professor of Medicine at Harvard Medical School in Boston, MA. “For some patients, however, size doesn’t matter, but thinking about the possible side effects can really bring on a cold sweat.” Learn what you can do about that at

One of the things patients often fear about being diagnosed with diabetes is insulin injections.

In most cases, if you have type 1 you will be taking insulin a number of times a day.   And, most likely because you are new to diabetes, the decision about which insulin to take and how to take it will be made by your health care provider.

But as you learn more about the disease and improve your self-management skills, you will be able to participate more fully in your care.

If you have type 2 and are transitioning to insulin—or transitioning from taking one injection of basal insulin a day to a regimen that has you injecting insulin before each meal and a dose either at bedtime or in the morning—it can be anxiety-provoking.  It is a stark indication that your pancreas is no longer providing sufficient insulin.

Whether you have type 1 or type 2, if you need to take multiple injections of insulin a day, understanding the different ways insulin is titrated can be empowering—and having a discussion with your health care provider about which way may suit your circumstances the best, can diminish apprehension and give you a measure of control.  Continue reading…..

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