Pain after injecting

9 posts, 6 contributors

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Joanne L DAFNE Graduate
NHS Lanarkshire
7 posts

My friend has an eleven year old son who has been diabetic for 3 years. He has recently been complaining about the "nippy" pain in his arm/leg/stomach after injecting. Her son is on 4mm needles and has tried pinching and not pinching. Has anyone else experienced this and knows how to ease this?

Anele46 DAFNE Graduate
NHS Greater Glasgow and Clyde
109 posts

Hi Joanne,
I learned from reading the DAFNE forum on Facebook that Lantus has an acidic pH hence when you inject it nips which I definitely find the case when I inject Lantus but thankfully haven't had much pain when injecting my Novorapid - it can be sore depending on where I inject (I find the stomoch is the least painful) but my thighs can be a bit sore depending on what thigh I use as am left handed so can find it bit sore injecting on my right as it's a little more difficult stretching to the other side with my left and but as a rule for me it only nips with my Lantus (Background Insulin).

Cheers,
Anele.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

As mentioned, some insulins are higher in pH and therefore do produce a nip sometimes.............

Making sure the needle is changed for every injection and that injection sites are being rotated will help too.................but to be honest, there will be times when it does sting.......and you just get used to it.............

Some hope for the future at least......... Wink

mum2westiesGill 502 posts


Hi,

I use Lantus and inject into my thighs. What i get is like a slight stingy feeling for a coulpe of seconds. I brought this subject up on another forum and can confirm a couple of posts saying about it having an acicid substance in it.
Also as novorapidboi26 says Make sure the needle is changed for every injection and that injection sites are being rotated.

mum2westiesGill 502 posts


I also use 4mm needles and no pinching up is required, which is what my DSN told me on my last appointment.

John H DAFNE Graduate
Northamptonshire Healthcare NHS Foundation Trust
20 posts

My experience of stinging sensation during and straight after injecting was for 2 main reasons (NOT suggesting this will be the case for everybody!)......
Lantus was notorious for this anyway, but doing a more shallow injection would make things worse, in my opinion 4mm needles would make this a regular experience, and maybe 6mm ones would suit your situation far better. On my Dafne course, we were encouraged to use 4mm needles, this we tried, but I have reverted back to 6mm. Hope this may help.

Joanne L DAFNE Graduate
NHS Lanarkshire
7 posts

Thanks everyone for your advice!! Much appreciated!!

SA2010 DAFNE Graduate
University College London Hospitals (UCLH)
69 posts

Hi - just noticed this thread whilst searching for posts relating to using same needle type/size for both novorapid novopen and lantus solostar pen.

Adding to John H reply, I use 8mm BD Microfine for Lantus Solostar and 6mm Novofine needles for Novorapid Novopen. On advice from my clinic, I was asked to use the BD micro-fine 5mm for both lantus solostar and novopen. I found it very painful and after few days of perseverance I gave up and switched back to the BD Micro-fine 8mm for the lantus solostar and novofine 6mm needles for the novorapid novopen which cleared the problem.

Now 18 months on the clinic is recommending AGAIN that I use the same needles for both pens - suggesting using the novofine 6mm for the lantus solostar as well. I am hesitant as it is not recommended by the manufacturers of the lantus/solostar pens and also I have come across posts on forums mentioning leakage when wrong needles used and 6mm for me might be as painful as the 5mm was. Anyone uses novofine needles with lantus / solostar?

Joanne L DAFNE Graduate
NHS Lanarkshire
7 posts

My friend has now changed her son from 4mm needles to 6mm needles! No more stinging!! Thanks for ur advice John H!