Re: Injection site

Swepps wrote:
Since TI DX in February I've gained 12 pounds, but I swear almost all of it
seems to be right in the navel where I do all of my injections. I found
this: "changes in fat tissue at the site of injection" listed on the
websites of my insulins as side effects. What does this normally encompass?

Normally it is loss of fat at the injection site. Often there is a loss
of fat in some areas and extra fat in other areas. Medical term for the
loss of fat is "lipodystrophy". When you go in for a checkup you will
often find the doctor asking where you inject and you'll get
squeezed/palpitated for signs of lipodystrophy. Ideally the injection
would go into the same kind of tissue every time.

Lipohyperthropy (too much fat) also does occur. But again it is often
an irregular pocked-sort of distribution.

I'm not going to say it's impossible for lipodystrophy to happen after
just a few months of shots but I think that it USUALLY develops over a
longer time scale.

It would make sense that the cells exposed to all that extra insulin
temporarily would be encouraged to suck up glucose and form adipose tissue.
Is this what they mean? It sure seems to be my case. What do you guys do
to prevent this, other than maybe moving the injection site? I'm having to
get new pants!

Weight gain on typical Type 1 insulin+diet therapy is very common. To
lose weight you have to cut down your total caloric intake and/or
exercise more.

It is also possible that before diagnosis/treatment that you had lost
some weight (and probably a lot of fluids).

I've been type 1 for 25 years and watching the weight while eating to
match insulin doses is a common theme with continual give-and-take.
Some improvement can be had, I have recently found, by moving to a
fast-acting insulin analog so that the requisite-with-R snacks aren't
needed anymore.

BTW, I got my first A1C since DX--6.2!!

That's wonderful!

Tim.

.

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