Beta-blockers, eg propranolol including eye drops containing beta-blockers can mask some of the signs of low blood sugar, such as increased heart rate and tremor. They also prolong episodes of low blood sugar and impair recovery back to normal glucose levels. The following medicines may increase blood glucose levels. If you start treatment with any of these your insulin dose may therefore need increasing:. Oestrogens and progestogens , such as those contained in oral contraceptives, may affect blood sugar levels, and women taking these may need small adjustments up or down in their insulin dose.
Make sure all medicines are kept out of the reach of children and avoid exposing them to excessive heat or direct sunlight. There are many other forms of insulin available; you can read about these here. Last updated Parenting Mental health Healthy eating Conditions Follow. Type keyword s to search. What is it used for? How does it work? How do I use it? Your doctor or diabetes specialist will teach you how to administer your insulin injections correctly.
Make sure you understand what to do and ask questions if you don't. Humulin M3 injections are usually given under the skin of the upper arms, thighs, buttocks, or abdomen. You should take care to make sure that the injection does not enter a blood vessel. The injection may start to start to work at different speeds depending on the site you use and various other factors, such as if you have been doing exercise.
In general, injections into the abdomen start to work quicker than those given in other areas. You shouldn't massage the injection area after administering an injection. Each time you inject your insulin make sure you use a different site. This helps to prevent the skin thickening and pitting, which can occur if the injection is repeatedly given in the same site.
You should measure your blood sugar levels every day when using insulin injections. The dose you need to inject each time will depend on your blood sugar levels, what you are going to eat and if you have been doing or will be doing exercise. Control of blood sugar is an individual process and your diabetes specialist will help you to understand what is required.
Your insulin requirements may increase when you are ill, especially if you have an infection or fever. Your insulin dose may also need adjusting during periods of emotional disturbance, or if you increase your physical activity or change your usual diet. Insulin requirements may be reduced if you have impaired kidney or liver function.
Discuss this with your doctor or diabetes nurse to make sure you optimise control of your blood sugar. This medicine must not be injected into a vein intravenously. Low blood sugar hypoglycaemia is a potential side effect of insulin therapy. Your diabetes team should give you instructions on how to avoid it.
Symptoms of hypoglycaemia usually occur suddenly and may include cold sweats, cool pale skin, tremor, anxious feeling, unusual tiredness or weakness, confusion, difficulty in concentration, excessive hunger, temporary vision changes, headache, nausea and palpitations. You should make sure you know what to do if you experience these symptoms - ask your doctor or diabetes nurse for advice if you are unsure about anything. Your ability to concentrate or react may be reduced if you have low blood sugar, and this can cause problems driving or operating machinery.
You should take precautions to avoid low blood sugar when driving - discuss this with your doctor. You should only change your insulin on your doctor's advice. If you do transfer to a different insulin, eg different type short, intermediate or long acting , different species human or animal , different brand, or different strength of insulin, your doctor may need to alter your dose, and your warning symptoms of low blood sugar may be slightly different.
People with diabetes who are on insulin should only drink alcohol in moderation and accompanied by food. This is because alcohol can make your warning signs of low blood sugar less clear, and can cause delayed low blood sugar, even several hours after drinking. People with diabetes who smoke normally need more insulin, as smoking reduces the amount of insulin that is absorbed into the blood from an injection under the skin.
If you give up smoking, you may subsequently need a reduction in your insulin dose. Discuss this with your doctor. If you are diabetic giving up smoking is one of the most important things you can do, because it will vastly reduce your risk of complications like heart disease and circulatory problems. Not to be used in Low blood sugar levels hypoglycaemia. Pregnancy and breastfeeding Certain medicines should not be used during pregnancy or breastfeeding.
Insulin does not cross the placenta and provides no risk to the developing baby. Blood sugar levels need to be maintained as stable as possible during pregnancy, and you should consult your diabetic specialist to discuss how to achieve this.
Your insulin requirements are likely to decrease in the first trimester and subsequently increase in the second and third trimesters. There is no risk to nursing infants from insulin taken by the mother. However, your insulin dose may need to be decreased during breastfeeding.
Side effects Medicines and their possible side effects can affect individual people in different ways. Very common affect more than 1 in 10 people Low blood glucose level hypoglycaemia - see warning section above. Common affect between 1 in 10 and 1 in people Redness, swelling or itching at the injection site.
Uncommon affect between 1 in and 1 in people Skin thickening or pitting lipodystrophy if injection given too frequently into the same site. Search forums. Log in. Install the app. Community Members: Please be respectful of other peoples' opinions within our online community. JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding. You are using an out of date browser.
It may not display this or other websites correctly. You should upgrade or use an alternative browser. When to use Humulin I kwikpen Relationship to Diabetes Type 1. Hi i a bit confused as to when i should use my Humulin I kwikpen before a main meal or after? I did read that it is best to take it before a main meal about 20 - 30 mins before but then others say its best after a main meal so now iam really confused can someone please tell me when is the best time to take it.
Thank you in advance for anyone who can put me right SB Forum Host. Later when I was using a Libre sensor I realised how much my BG would spike after meals, even though they returned to normal levels within the 2 hours. Reading on here I saw that people were injecting some time before a meal. I now do this but adjust the length of time depending on my pre meal BG.
The period of time before the meal at which I inject I have found by trial and improvement, but in general if my BG is high or on target I deliver a while before the meal, If my pre meal BG is low I wait until I am about to eat.
I only do this pre-bokusing when I am absolutely sure of when I am going to start eating. I do not do this in a restaurant, or when eating at friends unless they are those that understand all this and help out with timing.
I hope that that is of some help. Robin Well-Known Member. SB said:. Click to expand Robin said:. As Robin says Humaln I is a medium acting insulin.
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