Not sure what to do..i know medical advice cant be given but maybe some genral advice on how to handle this

[Sara Grice]

I was just getting ready to plate up my tea, and I went to inject my novarapid, and I can't relay describe what happend..as I whent down to press the plunger my arm kinda slipped as I did it and...urgh the needle bent, I could tell some of it didn't go in cos I saw a drop liquid running down, I ate my tea, eating less of my carbs as I had planed and mainly my chicken and veggies, but what should I do now? It's to late to get a hold of my local diabeties team. I'm obviously gonna watch if I go low or high.. at the moment it's been about 15 minutes (I made my last post while I was waiting for my food to cool now this fiasco happens) and it hasn't realy gone up or down which I guess is a good sign.

Are keytones something I should be worried about? Sinse I know you can get then even when your levels are OK because you didn't have enough insulin?

 

[Merluza]

Just keep an eye on your your BG, do a few extra tests and make any adjustments you think you might need, remember that Novorapid peaks around 3 hours after injection. Don't worry of you are a bit on the high side, tomorrow is another day and you can get back to normal. Of course if you have guessed wrong about the carbs you might need to eat some, a test will tell you what you need to do. This sort of thing can happen to anybody.

 

[Lauren]

Hiya
I think you are already doing the best thing, which is to monitor throughout the evening to see how your levels change. If only a drop escaped, hopefully it won't impact you too much, although you may have to eat some carbs to make up for the carbs omitted at dinner. If it goes a little high you may have to correct (if you are used to doing this).
I'm not sure you would need to worry about ketones unless you end up with high BGs or if you are ill. Someone more knowledgeable than me might want to correct me on this though!
Keep monitoring and keep us posted. Hopefully all will be ok x

 

[Inka]

@Lauren There’s something called Euglycaemic DKA, where you can get ketones with normal blood sugars. However @Sara Grice I think it’s extremely unlikely that you need to worry about this. I’ve had insulin leak out before. It hadn’t caused major problems. Just monitor closely. I would have eaten most or all of the carbs myself. Just keep an eye on things and put it down to experience x

 

[Sara Grice]

Just keep an eye on your your BG, do a few extra tests and make any adjustments you think you might need, remember that Novorapid peaks around 3 hours after injection. Don't worry of you are a bit on the high side, tomorrow is another day and you can get back to normal. Of course if you have guessed wrong about the carbs you might need to eat some, a test will tell you what you need to do. This sort of thing can happen to anybody.

Thanks, I am going up only slightly (glad I ate a mostly meat and veggies), so I don't think I need to worry untill it gets higher..my plan is just to drink plenty of water and maybe do some activity if I need to bring it down because I've never given a correction dose and I'm not exactly sure how many carbs I ate, in 2 hours I'll see how I'm doing. Right now I think I'm OK which is a relief.

On the bad side I has finaly got the chance to join a local diabeties support group on zoom tonight that only meets every other month. Last time back in feb I think I got left of the email list and never got a invite..this time the person running it has had to cancle last minute due to an issue with zoom. I was looking forward to it but these things happen I guess, at least I have this forum

 

[Merluza]

I think you may be worrying more than you need to. Just keep an eye on things and you'll be fine. Check in an hour and again in two and make any adjustments you need then, and check before you go to bed.

Being a bit on the high side is better than being low.

 

[Sara Grice]

@Lauren There’s something called Euglycaemic DKA, where you can get ketones with normal blood sugars. However @Sara Grice I think it’s extremely unlikely that you need to worry about this. I’ve had insulin leak out before. It hadn’t caused major problems. Just monitor closely. I would have eaten most or all of the carbs myself. Just keep an eye on things and put it down to experience x

Definitely a learning experience, I may have been to aggressive in trying to push down the end of my Insulin pen, I feel like getting it all in one swift motion is probably for the best rather than dripping it in with a slower press (but I definitely think I over did it this time..this hasn't happend before in months of using insulin) but i could be wrong, it could make no difference on the effect of the insulin at all, .

 

[Inka]

Definitely a learning experience, I may have been to aggressive in trying to push down the end of my Insulin pen, I feel like getting it all in one swift motion is probably for the best, but I definitely think I over did it this time.

No, it’s best to press down steadily on the end of the pen, not try to do it superfast. You’re squeezing out toothpaste, so to speak, not launching a rocket! Just press steadily.

 

[Sara Grice]

No, it’s best to press down steadily on the end of the pen, not try to do it superfast. You’re squeezing out toothpaste, so to speak, not launching a rocket! Just press steadily.

Huh, I mean this is just my personal experience but when I go slower like that I tend to find the insulin has a sort of slower effect, which means I can see higher levels than doing it quickly...probably just confirmation bias though but I know now. Thanks

 

[Inka]

Yeah, that sounds like confirmation bias Press the pen end steadily and then hold the needle in the skin for 10 seconds after you’ve injected to allow the insulin to disperse. Doesn’t have to be exactly 10 seconds, so don’t worry about that, but you get the idea.

 

[gillrogers]

I did a very similar thing. But i ate all of my meal and slowly so the end result wasnt as high as it would have been if id cracked on at normal speed. Then juat dealt with a correction at lunch. I remember putting a yell for help on me and was suggested that i ate all of my meal as it would be safer.