Part two of my research at work today.
Firstly, i don't think anybody should have to inject in the toilet or anywhere else if they don't feel comfortable with it. Like people have already said, it's not like you have to take your clothes off or that it's any different to swallowing tablets or taking an inhaler dose. I'm a pill popping type 2 so i've got no personal experience of injecting (well, just the once but that was on a hospital ward), but my type 1 friend at work showed me how she injects and to be honest, you don;t have to be minding your own business much not to notice. On the other hand, if half the department are in the tearoom or i'm feeling especially pessimistic about the results (or just in a grump), i can be self concious about using my finger test in front of everyone. There's only so much of "oooooo, what's that? Do you have to use that everyday? I've never seen one of those before..." i can take at once....🙂
Back to the orginal subject, i was wondering weather it was actually that much more of a risk to inject insulin in a toilet rather than in another public area. Short of taking my biotest machine and particle counter and testing the toilet at work, i'm not gonna know (maybe when the next batch of plates come in...). Talking to my nice boss at work we decided it probably wouldn't actually make that much difference. Asssuming that you're using a pen rather than drawing up into a syringe, you take the pen out of a bag and take off the lid. The bag and the lid will have kept the needle (even if you're not using a new one) reasonably clean. If you are using a new needle, you take ot out of a sterile wrapper. The needle is the only part that you need to worry about getting "dirty" and it's tiny and is only going to be exposed to the atmosphere for a fairly short ammount of time. The "dirtyness" of the enviroment is probably a smaller factor than the length of time exposed to it. Also bear in mind that toilets may get cleaned more often than cinema foyers. If you want to lessen the risks, either get hold of some alcohol wipes (or some good vodka and a hip flask) or some of that alcohol hand gel that they sell, and clean the needle before and after use. If you do need to put down any needles on a solid object, then place them on your bag or whatever you use to keep your supplies in and keep that clean. I'd be interesting to see the comparison in microbial growth between your average toilet and anything else, but i can't see that even my lovely QA bosses would see that as a good use of my time or hospital resourses.
It's down to person choice, i reakon.
Rachel