Are you a person with Diabetes Mellitus? If so, your doctor may have prescribed you a special insulin injection to take before meals. You may have also been told to eat within 10-15 minutes of taking this. You may be wondering, "Why is this insulin given so quickly? Is it different from other insulins?" That's what we're going to answer in this article today. Let's understand everything about this fast-acting insulin, namely Insulin Lispro, clearly and simply.
First of all, what is insulin?
Simply put, insulin is a hormone that is naturally produced in our bodies. It acts like a key. The sugar in the food we eat, called glucose, needs to enter our cells and be turned into energy. But the doors to the cells are closed. Insulin is the key that opens those doors. Insulin does two main things: 1. It helps cells convert the sugar (glucose) in the food we eat into energy. 2. If our bodies have more sugar than they need, the extra sugar is stored in the liver for later use. In this way, insulin helps keep our blood sugar levels at a healthy level.
So what is Insulin Lispro?
Insulin Lispro is a type of insulin that is made in a laboratory by humans. It is very similar to the natural insulin in our bodies. But there is something special about it. It is
a fast-acting type of insulin. This means that it starts working within a few minutes of being injected. It is available under different brand names, such as Admelog® or Humalog®. Your doctor will prescribe the type that is best for you.
Who needs this fast insulin?
You may need this insulin if you have diabetes. There are two main types of diabetes, right?
- Type 1 Diabetes : This usually starts in childhood. What happens here is that due to a defect in the body's immune system, the cells that produce insulin are destroyed. So the body is unable to make insulin. Therefore, insulin has to be taken externally for the rest of its life.
- Type 2 Diabetes: This is a condition that develops gradually over time. Poor eating habits, obesityThis can occur for reasons such as: What happens here is that even though the body produces insulin, the body's cells do not respond properly to that insulin ( insulin resistance ). Then, more insulin than normal is needed to control blood sugar levels .
For people with both types of diabetes, doctors prescribe a fast-acting insulin like Insulin Lispro to control the sudden spike in blood sugar levels, especially after a meal.
How does this work with a meal?
Normally, when a healthy person starts eating, before the food is digested and the sugar is added to the blood, insulin is released from the body. This is to prepare the body to accept the incoming sugar. However, this process does not happen properly in the body of a person with diabetes. To fill that gap, we take Insulin Lispro injection 5-15 minutes before eating. Then, as soon as the sugar in the food we eat is added to the blood, this insulin is activated to control it.
Imagine you are getting ready to eat a delicious meal. After you eat the meal, the carbohydrates in it turn into sugar and enter the blood. Insulin Lispro is like a sentinel who arrives before that sugar is accepted. It opens the doors of the cells, allowing the sugar to enter.
Will I need other types of insulin?
Yes, it often is. People with type 1 diabetes, in particular, usually need two types of insulin. That's because insulin works at different speeds and for different periods of time. Think of these types of insulin as runners running at different speeds.
| Insulin type | How it works |
|---|
| Rapid-acting (e.g. Insulin Lispro) | This is like a 100-meter sprinter. It starts working in a few minutes, but it takes a few hours to finish working. This is used with meals. |
| Short-acting/Regular | This started working within about 30 minutes and has been active for several hours. |
| Long-acting | It's like a marathon runner. It takes a few hours to start working, but it's active for 24 hours or more. It does this by maintaining the basal insulin levels that the body needs during meals and at night. |
So your doctor may prescribe a long-acting insulin, such as Insulin Lispro, along with a rapid-acting insulin. For people with type 2 diabetes, they may also recommend using this along with pills or other injections.
What should I tell the doctor before taking this medicine?
It is very important to tell your doctor your complete health history. Be sure to mention the following in particular:
- If you are pregnant , trying to get pregnant, or breastfeeding .
- If you have allergies to insulin, metacresol, other medications, foods, preservatives, or dyes.
- If you have vision impairment, blurred vision, or diabetic retinopathy .
- If you have kidney disease .
- If you have liver disease .
- If your blood sugar level is often low (Hypoglycemia) .
Based on this information, your doctor will determine the most appropriate dosage and treatment plan for you.
How exactly do you get this vaccine?
Injecting insulin can seem a little scary at first, but once you get used to it, it's very easy. Your doctor or a nurse at the diabetes clinic will show you how to do it clearly. Here are the general steps: 1.
Getting ready: Get your insulin pen or vial and syringe ready. If it's a pen, attach a new needle to it. 2.
Uncapping the pen: Remove the protective cap from the pen or syringe. 3.
Priming the pen: You should 'prime' the pen before each injection. This means dialing in about 2 units, turning the needle up, and pressing until there are no air bubbles and a drop of insulin comes out. This is to remove any air trapped in the needle and ensure that you get the correct dose. 4.
Getting the injection:Inject the injection 5 to 15 minutes before eating. 5. Preparing for a meal: Prepare a meal before giving the injection. Do not delay eating after giving the injection. Doing so can cause dangerously low blood sugar levels. Important: Do not inject in the same place every day. Rotate the injection sites, such as the abdomen, thigh, and upper arm. If you keep injecting in the same place, the area can become thick like a layer of fat under the skin (lipohypertrophy). This can prevent the body from absorbing insulin properly. Inject at least one inch away from the last injection site.
What are the benefits of using this insulin?
The main benefit is that it helps you maintain healthy blood sugar levels, which can help you avoid many of the dangerous complications that can occur due to diabetes.- Eye problems (which can lead to blindness)
- Gum disease
- Heart Attack
- Kidney Failure
- Nerve damage (Neuropathic Pain)
- Stroke
Are there any side effects?
Yes, some side effects can occur when starting a new insulin or changing the dose. But most of these are not serious.- Blurred vision
- Pain, swelling, or redness at the injection site
- Feeling of numbness or weakness in the limbs
Of these, the side effect we should pay particular attention to is a sudden drop in blood sugar levels, or hypoglycemia . Symptoms of hypoglycemia (low blood sugar)
What to do if you have mild symptoms? Eat or drink something sugary immediately. For example, a teaspoon of sugar, a sweet drink (not diet), a few glucose tablets, or some fruit juice.
If you have any serious symptoms, take the person to the nearest hospital emergency department (ETU) immediately. | Mild/moderate symptoms (self-manageable) | Serious symptoms (need immediate medical attention) |
|---|
- Feeling scared and uneasy
- Sweating more than usual
- Dizziness
- Feeling more hungry than usual
- Nausea
- Confusion
| - Difficulty breathing
- Fainting / Syncope
- Seizure
|
What if I forget to give the injection before eating?
It could happen. Don't worry.- If you remember shortly after eating, you can take the missed dose right away.
- But if it's been a long time , follow your doctor's instructions. If you're not sure what to do, call your doctor and ask.
- Never double the dose at the next meal to make up for a missed dose. Doing so can cause your blood sugar levels to drop dangerously low.
Other important things to know
Keep these points in mind for your safety and the success of your treatment.- Correct pen and dose: Always double-check that it is your insulin pen, the name is correct, and the dose dialed is the same as your prescription before injecting.
- Insulin color: Insulin Lispro is a clear liquid, like water. Do not use it if it is cloudy, white, or has lumps in it.
- Used needles: Do not throw used needles in the trash. They are sharp and can be dangerous. Put them in a special container (sharps container) where they can be safely collected. You can find out more about this at your pharmacy or hospital.
- Insulin storage: Store unopened insulin pens or vials in the refrigerator (not the freezer). In-use pens can be stored at room temperature (usually 28 days). Protect from excessive heat and direct sunlight.
If you have any questions about your insulin, dosage, or any other questions, please ask your doctor. Take-Home Message
- Insulin Lispro is a very fast-acting insulin that is taken with meals.
- This vaccine should always be administered 5-15 minutes before a meal. Prepare food before administering the vaccine.
- Be aware of the symptoms of low blood sugar (hypoglycemia). If you experience symptoms such as dizziness, sweating, or extreme hunger, eat something sugary immediately.
- If you miss a dose, never double the next dose. If you are unsure, ask your doctor.
- Do not inject the vaccine in the same place every day. Rotate sites such as the abdomen, thigh, and upper arm.
- Talk openly with your doctor about any questions or concerns you have.
Insulin, Insulin Lispro, Diabetes, Sugar, Injection, Hypoglycemia, Blood Sugar, Insulin Pen
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