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Symptoms of Hypoglycemia:

• Sweating
• Shivering
• Feeling hungry
• Blurry vision
• Loss of consciousness in severe cases

Symptoms of Hyperglycemia:

• Headache
• Blurry vision
• Extreme thirst
• Dry mouth
• Abdominal pain
• Nausea or vomiting
• Frequent urination

Symptoms of Ketoacidosis:

• Vomiting
• Dehydration
• Breath that smells fruity
• Deep or fast breathing
• Palpitation
• Confusion
• Coma in severe cases

Where to inject the Insulin Pen?

• Upper and outer part of the arms (leaving four fingers away from the top of the arm and four other fingers from the end of the arm)
• Front and outer thighs (leaving four fingers away from the top of the thigh and four other fingers from the end of the thigh)
• Abdominal area away from the navel (leaving two fingers next to the navel)
• Upper part of hips area

Fastest Insulin injection sites?

Abdominal area followed by arms, thighs, then upper part of hips area.

Preparing the Insulin Pen:

• Check the label and insulin color
• Take out the new pen from the fridge 30 minutes before taking your dose
• Wash your hand
• Remove the pen cover and wipe the area with an alcoholic swab.
• Insert a new needle in the Insulin pen
• Remove the outer and inner cover of the needle, keep the outer cover for later use, and get rid of the internal cover
• Take the air out of the pen, Air bubbles in the pen can cause pain when injected, it takes up space that the insulin should occupy, if we don’t get rid of them, we will not get the full dose. To get rid of air bubbles turn the dial to 2 units, then press till you hear a click for each unit until it reaches Zero
• Select the correct dose

How to inject:

• Make sure the skin is clean
• Inject the needle into the skin, the skin should be pinched using the thumb and index finger (avoid the muscle), and inject the needle into the skin using the other hand, so that it is vertical with the surface of the skin, after inserting the needle into the skin you should press the insulin pen button at moderate speed using the thumb. The needle needed to be kept in the skin for ten seconds after pressing the insulin pen button
• To remove the needle from the pen, the needle should be safely removed from the pen without being scratched or wounded, which is recommended to be covered with the large outer needle cover attached to each needle, and then wrap the needle and remove it from the pen
• Get rid of the needle properly the needle should be disposed of appropriately by collecting needles used in a bowl for later disposal, and it can be said that using a new needle each time helps to reduce discomfort and ensure the accuracy and effectiveness of the insulin dose

Insulin injection issues:

• Subcutaneous liposomal is caused by frequent insulin injection in the same site, so you should stay at least 2 cm away from the previous injection site

• Insulin may leak immediately after the needle is pulled, so it is recommended that after injecting the needle , do not pull it straight out of the skin and count slowly for 10 seconds before removing the needle

While feeling the symptoms of Hypoglycemia:

• Drink a cup of juice or a cup of water mixed with sugar
• Wait 15 minutes and then check the sugar level
• If the sugar rate is good, have a snack to stabilize the sugar level
• If Hypoglycemia continues, drink another cup of juice and wait another 15 minutes and then check the sugar level again, if the sugar rate is good, stabilize it with a snack

*If there is no juice, you can have sweetened candy.