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Insulin, Inject cold or at room temp?
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justMongo Offline

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Post: #1
Insulin, Inject cold or at room temp?
I normally keep my open vials of insulin at room temp. But, it gets rather hot during the summer months. So, I started storing them in a small Peltier cooler.

It just occurred to me that perhaps injecting cold insulin is not a good idea?

Your comments, please?

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07-20-2016 10:41 AM
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OpalRose Offline

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Post: #2
RE: Insulin, Inject cold or at room temp?
I don't know a lot about diabetes, but found several articles on this. It sounds as if keeping the vials too warm or too cold is not good.

The recommendation seems to be room temperature.

http://www.diabetes.org/living-with-diab...afety.html

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07-20-2016 11:01 AM
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0rangebear Offline

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Post: #3
RE: Insulin, Inject cold or at room temp?
It's not a bad idea, it is more about comfort.

The temperature and the location of the injection both effect the absorption rate, and the discomfort associated with the injection.

They do not effect the way the insulin works once it is absorbed.

For the least discomfort and fastest absorption.
Fill a new the syringe (put the bottle or pen back in the Fridge)
Lay it on the counter in the in you bath
Take a hot shower or bath
Inject it into you belly. (It should reach room temperature during your bath)

If comfort and absorption time are not an issue, you can inject it into the fatty tissue in your arm right out of the fridge.

Unless you've got some impressive guns, then you better find some fat on your belly

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
(This post was last modified: 07-20-2016 02:01 PM by 0rangebear.)
07-20-2016 02:00 PM
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justMongo Offline

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Post: #4
RE: Insulin, Inject cold or at room temp?
OB: I've got plenty of fat on my belly. Once I started using insulin, it caused me to gain weight.
My problem is insulin resistance. My pancreas seems to put out plenty of insulin; just not enough in the presence of insulin resistance to do the job.

I'm having an issue with Metformin -- which is a sensitizer; and is relatively inexpensive.
I need to investigate some other sensitizers.

I'd like to be able to use just oral meds.

Ideas?

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-20-2016 03:30 PM
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0rangebear Offline

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Post: #5
RE: Insulin, Inject cold or at room temp?
(07-20-2016 03:30 PM)justMongo Wrote:  OB: I've got plenty of fat on my belly. Once I started using insulin, it caused me to gain weight.
My problem is insulin resistance. My pancreas seems to put out plenty of insulin; just not enough in the presence of insulin resistance to do the job.

I'm having an issue with Metformin -- which is a sensitizer; and is relatively inexpensive.
I need to investigate some other sensitizers.

I'd like to be able to use just oral meds.

Ideas?

I don't want to break a rule on mentioning products, so here is a link
to clinical studies. Many type 2 diabetics who struggle with metformin alone find a combination therapy to be more effective.

This combination is a fairly inexpensive one that is recommended by the world heath organization.

http://www.jdcjournal.com/article/S1056-...ract?cc=y=
http://dmsjournal.biomedcentral.com/articles/10.1186/1758-5996-5-70

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07-20-2016 06:45 PM
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Sleeprider Offline
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Post: #6
RE: Insulin, Inject cold or at room temp?
I don't do insulin, but it seems most folks in CA have air conditioning. Why worry?

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07-20-2016 08:18 PM
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justMongo Offline

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Post: #7
RE: Insulin, Inject cold or at room temp?
Yeah, and everyone has their AC on today. We're at the end of the 240VAC run with no pole transformer at the end.
Over that past few years, everyone has upgraded the service panels to 200 Amp -- yet the municipal service has not upgraded the delivery infrastructure.
And, they know about the service upgrades because permits were pulled. I mention it because we're down to 108 VAC; and one of my computers will not boot because of power line sag. Edit: Sleeprider, I just got why you mentioned AC -- Oh-jeez The room I'm in is 81.5F right now; and the AC is on. So, I get concerned when my insulin is in a room that warm.

OrangeBear: You can mention a product. You can say Victoza which is a trade name for a diabetes medication.
It's the commercial links that need to be avoided. And, scholarly articles are of course permitted as this is an educational forum.
I think where well meaning people get tripped up is when they use a link to a site that is informative; but it has a "store" or "buy now" button that slips past them. It's just a mild wrist slap to make a mistake. I am trying to be less of a "cop" than when I was first offered the monitor position. If I can PM the person into making an edit -- I'd rather do that. The Admin understands that we all make mistakes; and does not want to chase good people away.

And everyone who has been made Advisory Member earned that by participation; and being helpful.

I made some big mistakes when first made a monitor. I banned a fairly new member; and I was wrong.
Admin fixed it before the person logged back on -- And, I'm not mentioning their name.
That person turned out to be a very fine member of the forum.

I am just admitting to the same human errors that we all can make.

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(This post was last modified: 07-20-2016 10:28 PM by justMongo.)
07-20-2016 09:58 PM
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0rangebear Offline

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Post: #8
RE: Insulin, Inject cold or at room temp?
Thanks JM.

I keep my house @ 69 degrees and I still put my insulin in the refrigerator to save $$$, If you keep it @ 80 degrees about 10% of it will be dead in 30 days. (hence the 30 day "expired" rule) You'll read opinions about crystallization and degradation regarding insulin expiration, but the truth is; insulin is alive and it is very sensitive to heat.(shaking it can kill some of it also)

If you are not throwing any insulin away and buying more this is irrelevant. However, many diabetic throw away surplus insulin and buy more every month. You can ask any pharmacist because they all know if you keep you insulin between 36-46 degrees it will remain viable for years.

This is why most insulin have an expiration date on the box that is two years out. Which is based on refrigerated storage. The 30 day rule is based on room temperature air storage.

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
07-21-2016 08:39 AM
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ger365 Offline

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Post: #9
RE: Insulin, Inject cold or at room temp?
(07-20-2016 02:00 PM)0rangebear Wrote:  It's not a bad idea, it is more about comfort.

The temperature and the location of the injection both effect the absorption rate, and the discomfort associated with the injection.

They do not effect the way the insulin works once it is absorbed.

For the least discomfort and fastest absorption.
Fill a new the syringe (put the bottle or pen back in the Fridge)
Lay it on the counter in the in you bath
Take a hot shower or bath
Inject it into you belly. (It should reach room temperature during your bath)

If comfort and absorption time are not an issue, you can inject it into the fatty tissue in your arm right out of the fridge.

Unless you've got some impressive guns, then you better find some fat on your belly
+1
07-22-2016 06:01 PM
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ger365 Offline

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Post: #10
RE: Insulin, Inject cold or at room temp?
(07-20-2016 08:18 PM)Sleeprider Wrote:  I don't do insulin, but it seems most folks in CA have air conditioning. Why worry?

My first thought was wtf !!!...then the light came on...ewe still knead insulation fer da hous....rofl
07-22-2016 06:06 PM
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