
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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April 10, 2010
Needle anxiety: Injecting insulin in public
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
First question: How many of you on injectable diabetes medication give your injection in front of others at a restaurant or other public place?
Second question: What kind of response did you receive from those around you when you injected yourself?
Did anyone freak out and say things like:
- I hate needles, how can you do that?
- Don't do that in front of me, or if you do let me know so I can turn around and don't have to watch.
- How can you do that, doesn't it hurt?
- Do you have to do that every time you eat?
Do you have needle anxiety when it comes to taking your insulin in front of other people? Do you run into the bathroom and quickly take your insulin when your food arrives at the restaurant? Do you risk having hypoglycemia (low blood glucose) because you take your insulin before you go to the restaurant (too early) and the insulin is working before your dinner is served?
Or, are you comfortable in your diabetes management and realize it's best to take your rapid insulin when the food arrives for adequate meal coverage on your insulin program.
Clearly, the public needs to be educated on this subject. Are there any suggestions on how to do this? How do you think Hollywood handles the subject?
Tell me what you think.
Regards,
Nancy
29 comments posted
October 20, 2012 1:33 p.m.
I am 41 and was just diagnosed with type 1 this week (onset in about 3 weeks - went from no issues to insulin dependency). One of my anxieties is how to eat at restaurants now. I use rapid acting insulin and use abloom sugar measurement + carb counting for the meal and my target to determine how many units to inject. I haven't eaten out yet, and I'll try it with not my family first to develop a system, but I'm having a problem visualizing how I go to a business dinner in another country, estimate carbs, check blood sugar, then inject "inconspicuously". No experience with it yet, but I think I'll probably use the restroom as I figure out what I'm doing before I would attempt public injection.
- Chris
June 11, 2012 3:49 p.m.
Dear LeX, Do you ALWAYS excuse yourself from the dinner table and head to the Restroom before blowing your Nose? before Sneezing? before Coughing? I think probably not. Taking a blood glucose test and injecting insulin is certainly MUCH CLEANER than any of the above activities, and also not nearly as offensive.
- Irene
April 10, 2012 4:55 p.m.
Come on ... show a little class & respect to others seated close by. Washrooms are fine- put tissue down & get with it.
- LeX
June 19, 2011 10:03 p.m.
I am 30 years old and was diagnosed type 2 about 5 years ago. I started injecting insulin roughly 2 years ago. I've never seen anyone inject in public and I would feel better if I did. I do it discreetly at the table because most of the time no one sees or comments. If I do it in the dirty restroom, I am usually grossed out and often get looks and comments. My friends are cool with it and my husband is so encouraging. It sucks having to live this way but I take care of it because I have to. I won't let anyone stop me and if anyone wants to ask me about it I will gladly answer them!
- Hollie
June 8, 2011 1:45 a.m.
I've had Type I for 35 years also and have NEVER had anyone make a fuss over me giving my injections in public. Right on, Nov 9th post! Bring it on if those 2 dorks tried to say anything to me. I try to be discreet and quick about it-- I guess I figure if someone did have issues with my injections, I'd tell them to get over it and simply look away from me next time. The injections are an unavoidable annoyance that I deal with as conveniently (key word) as I wish to. So there! ;]
- Janice
May 9, 2011 8:01 a.m.
I used to go into the bathroom but hated how unsanitary it felt. Then I dropped my bottle once and it shattered when I was trying to juggle everything. That was the end of that. Now I discreetly do it at the table. However, I look around and wonder why I never see anyone else doing it. Maybe they try to be discreet like I do.
- Deb
February 7, 2011 2:57 p.m.
I've been a Type 1 for 35 years. When I was younger, I shuddered at the thought of "shooting up" in public. After about age 40 I began to loosen up and am comfortable with it now. I wonder how many of those commenting are younger?
- Carl
November 9, 2010 4:03 p.m.
I used to go to the restroom or give my shots in the car, but it was so gross in the bathroom and there is no place to set everything out in either place. I very discreetly give my shot at the table on the side away from the public. One time two big burly guys approached me in a fast food restaurant and said that I was disgusting and it made them not be able to eat. It was threatening and made me feel terrible. Later, though, I just got mad and didn't see why they had to make a scene over something I need to do to live. I shouldn't have to go into a filthy restroom to give a shot and they shouldn't have been staring.
- MaryBeth
September 12, 2010 8:51 p.m.
insulin is something you need to live, so don't be afraid to do what ever you need to do. You shouldn't feel embarrassed doing something to live.
- Vanessa, age 10
July 23, 2010 11:13 a.m.
I do inject insulin in a restaurant, although it is only in the last few years that I have started to do so. I find that if it is doe discreetly it is not even noticed by others. I generally ask people at my table if they mind, or suggest that they look the other way, but I have never had a comment or noticed a reaction from others in a restaurant. On the other hand, when I do use a restroom to inject, I often get comments (generally "is that insulin?", or "my brother has diabetes" or something like that). But I find that many restrooms are so small that if someone else is in the restroom it is very difficult to find the space. Anyway, I have had diabetes for 44 years and it's only the last 10 years or so that I inject at the table, or on a park bench, or in some other public spot, and I have never had a problem doing it.
- Marty
June 28, 2010 11:30 a.m.
The first time I eat with a person, I explain about the insulin shot and ask if they are comfortable. If not, I wait until my food arrives, ensure it's correct and take my shot - I have never had anyone tell me they were uncomfortable. Although, once, while eating alone in a food fair, I took my shot, ate and in the middle of eating a security guard came in. He started at me, I looked at him, he looked around and then he left. It took me a moment to realize that someone had reported a junkie shooting up in the food fair, and since I am a middle age, overweight woman, I just didn't match his image of a junkie. It was funny, but clearly some education is required. Now I have a medical alert bracelet tattoo'd on my wrist with the word diabetic in big letters. http://ntrygg.wordpress.com/2009/10/16/medic-
alert-tattoos/ - nina
June 13, 2010 4:52 p.m.
Oh please, show me an adult juvenile diabetic who hasn't gotten the testing and injecting down to 90 seconds and you'll see a person with complications and out of control sugars. We inject through our clothes, check our sugar on our lap in restaurants and while driving. I like when people see me doing the ritual in the locker room and ask so I can warn them about the dangers of becoming a type 2. Real type 1 for 38 years but got a pancreas transplant 15 months ago. YEAH!!!!! So far, so good.
- chris
May 17, 2010 2:13 p.m.
I inject in public through my clean shirt. no one seems to notice. my grandkids are fine with it. we should never have to go into a filthy bath room to do it.
- ruth
May 14, 2010 2:55 a.m.
I've had Type 1 for 28 years and am now completely relaxed about testing and injecting (with a pen) in public. I don't feel sorry for myself at all, nor do I display it - I just do what I need to do. Recently, a woman in my book group who has cancer told me that she has to test her blood sugar because of her cancer treatment and that she'd watched me test my blood in such a relaxed way she'd taken real inspiration from it and now did it easily. People who make a fuss shouldn't go out. We harm no-one, we just look after ourselves and people's responses are not our responsibility.
- Katie
May 2, 2010 8:38 p.m.
@ Mary I agree with JorjaF. We should not have to run to a bathroom or some other "quiet place" to test and inject. I never try to flaunt my disease, which is insane. Do you really think it makes me feel good to draw everyone's attention to me just get their sympathy? Also, I don't want to have to balance my meter and needles on a small ledge or inject myself in a germ filled environment. Also, lazy, get off my butt? I work out every day, count carbs and make every meal myself, and check prick myself at least seven times daily. I am not a lazy person, and you have no right, absolutely no right to assume that. I don't know what kind of chip you have on your shoulder but knock it off.
- Matt
May 2, 2010 5:54 p.m.
I shouldn't have to hide in a filthy public bathroom to do a 2 second injection. I'm not a freak, I have a medical condition. If you have a problem with watching then please turn your head. It doesn't concern you. I'm tired of being shoved in a closet. 33 years and counting, and only once was I confronted in real life, but on a forum behind computers...people say the darndest things.
- JorjaF
May 2, 2010 10:11 a.m.
Both my husband and I are diabetics. I don't like watching him inject himself and I always try to do my injections discretely in public. Doesn't help that I have a big belly that I would not want to bare in public so I usually go to the bathroom for that.
- Carolyn
April 20, 2010 11:14 p.m.
I agree it is difficult to stand up and find a bathroom to inject while in a public place. But these people who pull out everything to test their blood and prepare the injection in front of others should be so insensitive. Look, it's tough to live like this for sure, without a doubt, but doing this is like saying "Oh look at me I'm a victim, don't you feel sorry for what I have to do every time I eat?" Maybe you love the attention you get with answering the questions they have but don't be so lazy, get off of your butt and go to a quiet place, take care of it as fast as you can and get back to your seat without any drama - How easy is this? Mary
- Mary
April 19, 2010 2:59 p.m.
Dawn: We are so sorry that that happened to your grandaughter. It sounds like the children around her have a healthy curiosity. She should absolutely NOT have to leave the table to give herself an injection. The public still needs a lot of education about diabetes. We recommend that you call the American Diabetes Association (1-800-DIABETES) for assistance.
- Nancy and Peggy
April 15, 2010 12:44 p.m.
I inject my insulin in front of other people, but I try to be discrete about it. I've rarely gotten comment. I don't make it a big deal, so most people ignore it too. I try to inject myself under the table; occasionally through my (clean) blouse or pants, rather than bare my skin to others.
- Christiana
April 15, 2010 11:46 a.m.
My custodial granddaughter (9) was diagnosed with Type 1 over a year ago and the school she attends does not have a nurse. Last year the school was very supportive of us being at school to attend to high's and lows and inject her with insulin. We give her the injections at the lunch room, some children have asked questions and just want to know what is happening. After telling them what we are doing and why, they are fine and will tell us stories about when they have had shots. We have a new principal this year and she has asked us to go into a storage closet or go after lunch to another location. She used the excuse that the other children were scared, and one aid told me it was because of the children would think she was taking drugs and we were forcing them on her. I have offered to educate the children or have some one come and talk with them, this has not been accepted as a good solution. I talked with the teachers of the classes that are their at that time and it is not the students but the faculty themselves that tell me they are squeamish and it bothers them to see her getting a shot. I have suggested they turn the other way. I do not want our granddaughter ever feeling like she needs to hide her disease or feel bad about herself that she has it. It is a fact of life and people need to be educated and it would be better at a young age, to learn not all people are the same and some have to take medicine, and it comes in many forms.
- Dawn
April 15, 2010 7:17 a.m.
I used to run to the bathroom, but I finally got over that. Now I just inject at the table. Most of my friends just ignore it and say nothing. My mother gets a little upset- and offers to go to the bathroom with me, but I say no and do it at the table. I never see anyone else doing it though. But the other week I was at the mall foodcourt- and finally saw someone else doing it. It made me feel so good to know I'm not alone!
- Collie
April 14, 2010 1:16 p.m.
After 33 years don't remember it ever bothering me to inject in public. I am just thankful they have had the throw a syringes since I have had Type 1. I don't watch nurses give any kind of shots.
- Linda
April 14, 2010 10:23 a.m.
It depends on what I am wearing whether I inject at the table or run to the bathroom. Even using a pen I do have a hard time giving myself a shot in the upper arm. Summer time is so much easier. I am a widower so I don't have anyone to give me shots I must do it myself.
- Dan
April 14, 2010 9:15 a.m.
My husband and I do not have any problems giving his shots in public. Even our grandkids (age 4 & 8) think it is okay, they actually disagree about who is going to carry "papaw's" medicine bag. They also will hold the alcohol pad while I give the injections. If anyone says anything, we just say we prefer to keep him around and this helps do that.
- Cathy
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29 comments posted