Dr. A. Peters Tips for Demystifying Injections in Diabetes. October 19, 2017

Tips for Demystifying Injections in Diabetes.
by Anne L. Peters, MD
http://ift.tt/2xQnBbz

Before I will start to discuss the discloser by Anne Peters, I wish to copy some comments.
Registered Nurse (RN):

 When did Drs start teaching injections? Don't you have any RNs working in your office or hospital?

Really, do doctors have nothing else to do but teach patient:

I open the box that includes the pen and sometimes needles. I take out the package insert and show it to the patient so that they can take it home and review what I've taught them.

My goodness! RN teaching patients how to count dose of insulin, what to do in case of low sugar, and encourage patients to go to clinic when we do have problems nurse cannot do at patient's home. What doctor teach patient, diabetic? Read it!!!!!!!!!

While I take out the pen, I tell the patient these rules: Any injectable that they are not using should be stored in the refrigerator, and the injectable they are using can be kept out at room temperature. I show them that the pen consists of the part that contains the insulin—or in this case, liraglutide—and the pen cap. I take off the pen cap and show them the top. I show them a pen needle and how to screw it on.

Of cause it is not all teaching by MD.

 It's that simple. This little piece goes into the trash. Remember, having somewhere to place trash is very important.

To whom all these tips? To adults. Where they take injection? At home. So, why Dr. Peters pretend that adults keep home in trash? And if it is not the case that our homes disorganized and  overloaded with trash then why MD pretend we need teaching where to put little peace? BTW, after injection why MD did not say that pen also go to trash? Or what I suppose to do with the pen? Personally I keep them for my memory as souvenirs. I use to take different types of insulin, so it is nice to keep the bottles and pens.

I show them whatever their first dose is going to be. Here, it's going to be 0.6 mg. Then I show them how to hold the pen. I do not know if this is the only way, but I show them to grab it with their fingers and keep their thumb on the top. I show them how to give it to an orange.

Why orange? It is much better to inject insulin into chicken. Orange has too thick skin, and to soft flesh. Not like human. After training chicken can be used to be boiled in pot and MD can shot to patient how to mack chicken soup and how to hold spoon and eat this soup in case of low blood sugar.

Boom, push, hold for a couple of seconds, and pull out. Done. I show them how to recap the needle, take it off, and stick it in the trash. I take the pen, put the cap back on, and tell them to put it down wherever they will use it the next day.

Very interesting. Looks like no one even pay attention how wrong tips are!!!!!!!!!!! I am interesting, if any one can see the wrong instructions given by MD? 
      Well, it is too stupid to teach someone to take shots. This instructions come in every box of insulin, every medication we take. If one cannot read English one can ask these instructions in Spanish, and so on.  At least instructions would be correct. There are so many mistakes in Dr. Peters tips that I suggest do not relay on them. Of cause, no one will push trash around in own home. We all do have trash cans for that. Probably Dr. Peters  does not use this way to care for own trash, but we all do. What about black spots in injected site? What about pain when injection taken? What about sites rotation? What about sucks in injectable area, and how to deal with them?
   Simple, MD has no one idea about subject of her own discussion, and pretend to teach us, how to do job she has no one idea about.

Also, many companies now have very clear tutorials online that a patient can watch.

Let us move on and try to find something important and new we do not know in injections. 

 A patient with type 2 diabetes who has never had insulin and who is not usually low is going to be really symptomatic if they develop hypoglycemia.

Sorry MD, what is diabetes type 2? It is type of diabetes when requirement in insulin is higher then 200 units daily dose.  So, why you all the time present that diabetics type 2 do not take insulin? Why you do not Rx insulin for your diabetics? And finally, it is absolutely  wrong to present that type 2 diabetics do not have low blood sugar. It is not diabetics type 2 who are insulin resistant diabetics who do not have low blood sugar and control high numbers with diet and work outs. They simple do not have high numbers, and they really do not have low blood sugar. Those of us who has Diabetes type 2, insulin resistant type of diabetes need to deal with high numbers, and low blood sugar always bite us.
       Most of us do not take insulin. What about SU? That's right. It is all the time presented that oral medicine does not lead to low blood sugar. Even now MD pretend that only if GLP-1 receptor agonist (RA) added to a patient on a sulfonylurea agent, then low sugar can be the problem.
Really, it is too bore to read. Even more bore to discuss this scam. So, to finish up I just copy some more info:

For patients uncontrolled on liraglutide ≤1.8 mg + metformin ± pioglitazone ± SU

Significant A1C reduction vs liraglutide

 Risk of Thyroid C-cell Tumors:
Pancreatitis: 
Hyper- or Hypoglycemia with Changes in Xultophy^® 100/3.6 Regimen:
 Overdose Due to Medication Errors:  
Hypoglycemia:
Acute Kidney Injury: 
Hypersensitivity and Allergic Reactions: 
Fluid Retention and Congestive Heart Failure: 
Macrovascular Outcomes:

If someone still interesting in newly developed drug to kill then it is one's choice. But I am not take this train. It goes in wrong direction.
BTW, I do not remember if Dr. Peters published something interesting. I also ordered her book, of cause used one. It cost just 0.01 +3.99 S&H. So, I just wished to have this book for my reference library how MD wash our brains without even being shamed to show own stupidity. Sorry, just show to be a little klutzy. 

via Ravenvoron