How to overcome psychological resistance to use insulin in type 2 diabetes
01/09/2023 11:49 a.m.
Insulin psychological resistance affects approximately 30% of patients.
In people with type 2 diabetes, moving from healthy habits and oral measurement to insulin injections can generate various fears that delay the start of treatment.
At the beginning of insulin treatment, many people with diabetes express fear and resistance to be treated.It is what is known as psychological resistance to insulin and affects approximately 30% of patients.
Type 2 diabetes is a chronic disease that is characterized by high blood glucose levels.It is closely related to obesity and sedentary life.Type 2 diabetes is more common in adults, but in recent years it has increased its incidence among children, mainly due to the increase in childhood obesity.
Treatment for type 2 diabetes
"In most cases, insulin injection does not usually come from the entrance when they diagnose," explains Carmen Yoldi, an advanced diabetes practice nurse.The initial treatment usually consists of a balanced diet plan, a bit low of calories to lose weight, the practice of physical exercise and oral medication to help the insulin that the body secretes works better.
However, as Yoldi comments the natural evolution of the disease often makes the pancreas progressively work worse and in the end it must be putting insulin.
What fears does treatment with insulin generate?
At the time the treatment becomes insulin injection, many patients show psychological resistance, which may be due to various factors.
On the one hand, there is the fear of pain that the puncture can cause.This is a quite common fear, but that usually disappears after the first punctures.On the other hand, during the initial treatment it is common for people with diabetes to listen to their doctors or their environment that if the diet does not follow well and healthy habits will end up puncturing insulin.
"That remains in the subconscious and when they tell him that he has to prick insulin is associated with that he is much worse," says the expert.This belief makes in some cases the person resist to start treatment.
Other factors, such as the lack of knowledge about the disease or the emotional state of the person, can also cause the beginning of insulin treatment to be delayed.
It is shown that putting these tips into practice helps to cope with it better:
talk to the doctor
Consulting doubts about the disease and sharing with the health personnel fears about the disease helps lose fear of insulin.It is the most effective way to dissipate false beliefs about both disease and treatment.
In a recent study, it was found that 75.9% of people with type 2 diabetes believe that the fact that their doctor is available to solve their concerns helps them lose fear of insulin treatment.
know better what insulin is
Having enough information about what insulin is, how it works and how it can also help is a great help.
74.6% of respondents indicated that having more information about insulin helps lose their fear.
address the fear of pain and change the needle
Familiar with the insulin pen and verify that the needles are very thin and short is a good way to lose the fear of injection.73% of people stand out that knowing the device better reduces their psychological resistance to insulin.
The puncture hurts less if the needle is changed in each injection.The tipThe needle is shaped like a bezel and is so thin that when crossing the skin it is noticeable.
01/09/2023 11:49 a.m.
@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.
It happened to me as soon as I saw the size of the needle ...
If it is nothing.
01/09/2023 2:50 p.m.
DM 2 con páncreas agotado desde diciembre 2020. 51 años entonces.
HG diciembre 2020: 15.9. Última HG: julio 2024 5.8
Abasaglar 9 unidades. Metformina, 1000/0/1000. Humalog junior: 2 unid en desayuno y luego en función de lo que coma.
The needles, in general they generate rejection, it happened to me, that I could not be close to a hospital ... hahaha, the day they diagnosed me type 1, and they told me that I had to inject me insulin every day, andThat I had to do it myself ... I was white !!
I have to say, it is the typical case that is worse in our heads than in reality, I mean, that we visualize or perceive 100,000 million times worse than it is really, in fact, in my experience, I got used to inVery few days to injections.
And to avoid the pain of the puncture, the key was hit with the type of needle, I use BD of 8 mm, for me the most essend and that best works for me.
01/09/2023 3:08 p.m.
@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.
I use 5 mm from the beginning, and the truth is that I looked very small, so it didn't impress me much.And to me the puncture is that it does not hurt (ever yes, but it is the exception).The glucometer was fatal, that it hurt me, I had even bornered fingers.The arrival of the sensor was a release for me.
01/09/2023 3:23 p.m.
DM1 desde octubre de 2019 | Toujeo + Fiasp | FreeStyle | febrero 2023: HbA1c 5,7
Totally agree ... the puncture on the finger that the injection ... has no point of comparison!
01/09/2023 3:26 p.m.
@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.
I overcome the fear of needles with fertility and heparin treatments, the bad are the blood tests, there literally fainted.Once I woke up at the ICU, they didn't know what to do with me and there they left me ... how scare I took!
Now I do not faint, only if I see a lot of blood, so I am of little help at home when someone cuts and there is a lot of blood. But they can already get blood without palmaring in half half!:)
I agree that the lancets are very worse than the needles (they have lowered them to 5mm but I prefer those of 8mm, they no longer give them)
01/09/2023 6:04 p.m.
Lada enero 2015.
Uso Toujeo y Novorapid.
The truth is that you get used to it, but when I think it is for a lifetime .... I use them 5mm are the ones that offered me to start.What makes me angry is that I have become a specialist in clicking capillary, one day in the week it falls and it is angry because I get a moraton and the area hurts!
01/09/2023 7:53 p.m.