If you have type 2 diabetes, your health care provider may have suggested that you start taking insulin. If this is the case it is most likely because your diabetes medications are no longer keeping your blood glucose in your target range. Have you said you want to put off taking insulin until the next visit? Have you said you would like one more chance to watch what you eat more carefully, to avoid taking insulin?
If so, you are not alone. It is very common to have concerns, and even fears, about taking insulin. But if your current medications are not keeping your blood glucose in your target range, taking insulin may be good for you—while your fears may be keeping you from reaching your blood glucose goals.
Some health care providers try to help their patients think differently about insulin. Changing your mindset is the first step in overcoming your fears.
Some common fears about insulin and some new ways to think about them:
Needing insulin must mean I have bad diabetes. Many people believe that diabetes is not serious if they do not feel sick and do not take insulin shots. When they are first diagnosed, people with type 2 diabetes may be able manage their diabetes with a meal plan and increased physical activity. But over time, most people will need to take one or more medications—and eventually insulin—to keep their blood glucose as close to normal as possible. Using medications or insulin does not mean that you have failed or that your diabetes is worse; it is simply how type 2 diabetes progresses.
Insulin is a hassle
It is true that for most people it is easier to take pills than shots. But newer devices can help make it easier. And your health care provider or pharmacist can offer you tips on how to make taking your shots hassle-free.
I am afraid of shots
Today, with new technology, needles are extremely thin and short. There also are easy-to-use insulin pens and other devices that do not look like syringes. Many people find these devices nearly painless. Ask your health care provider if you can practice giving yourself a shot in their presence with one of these thin, short needles. Most people are surprised to see how little it hurts.
I have heard of people who have had low blood glucose reactions when using insulin. While it is true that insulin can cause low blood glucose reactions, these reactions are usually mild for people with type 2 diabetes and easily treated. You also can learn how to prevent and treat a low blood glucose reaction by planning your insulin and eating schedule. Ask your pharmacist or diabetes educator about newer insulins that may help to prevent low blood glucose levels.
I feel fine when my blood glucose numbers are high. Your body adjusts to high levels, and you may not feel that differently when your blood glucose is high. But even though you may feel OK, high blood glucose levels take their toll on your body. In addition, many people find that once their blood glucose is in a more normal range, they have more energy, have to get up fewer times in the night to use the bathroom and feel more like doing the things they enjoy.
I have done something wrong all these years. I should have paid more attention to my diabetes and what I ate. Many people blame themselves because they need insulin to keep their blood glucose in their target range. Nothing could be further from reality. Over time, your pancreas can no longer can make enough insulin to keep up with your body’s needs—it is just a fact. Also keep in mind that insulin does not cause complications such as impotence and amputations, it helps to prevent them.
So try not to think of insulin as a punishment. Instead, try thinking of it as a treatment that can help you feel better while living a longer, healthier life.
