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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Bruising at injection site

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Julie Bove - 22 May 2008 23:39 GMT
Is this normal?  I looked down today to see where I hadn't injected before
and saw a huge bruise!  I tried not to pinch the skin up in that area, but
it still hurt the bruised area very badly when I pinched up the skin next to
it.  I inject in my stomach if that matters.  I have very little fat on my
legs but plenty on the stomach.

Then this afternoon, I was getting dressed and looked in the mirror.  My
entire stomach is a mass of bruises, marching along in a rather uneven line.
I should add I do not bruise easily and I can't remember the last time I had
a bruise.  Exception being when I worked at K Mart and we got those racks
for plastic bags at the checkouts.  The prongs were very sharp.  My job was
to fix the scanners, among other things.  The bag rack was right next to the
scanner and I was forever running my hip bones into the prongs.  I swear I
had permanent bruises there for a couple of years.

Thanks!
Karen in NC - 23 May 2008 01:49 GMT
> Is this normal?  I looked down today to see where I hadn't injected before
> and saw a huge bruise!  I tried not to pinch the skin up in that area, but
[quoted text clipped - 12 lines]
>
> Thanks!

Julie, I have the same type of bruises on my stomach/upper abdomen from my
Byetta injections.  Sometimes the bruises are small, sometimes they're huge.
However, I bruise **very** easily, and I know you just said you don't...so I
don't know how helpful my input is to you.  :-)

Karen
Type 2
Julie Bove - 23 May 2008 03:31 GMT
> Julie, I have the same type of bruises on my stomach/upper abdomen from my
> Byetta injections.  Sometimes the bruises are small, sometimes they're
> huge. However, I bruise **very** easily, and I know you just said you
> don't...so I don't know how helpful my input is to you.  :-)

Thanks.  Sometimes I feel like I am pushing the pen really hard into me when
I am counting the 6 or 10 seconds, depending on the insulin I am using.
Tiger_Lily - 23 May 2008 03:51 GMT
>> Julie, I have the same type of bruises on my stomach/upper abdomen from my
>> Byetta injections.  Sometimes the bruises are small, sometimes they're
[quoted text clipped - 3 lines]
> Thanks.  Sometimes I feel like I am pushing the pen really hard into me when
> I am counting the 6 or 10 seconds, depending on the insulin I am using.

don't push the pen really hard into you......... the needle is all that
has to penetrate the skin

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Julie Bove - 23 May 2008 04:02 GMT
> don't push the pen really hard into you......... the needle is all that
> has to penetrate the skin

My brain knows that but my hand does not.
Nick Cramer - 23 May 2008 09:07 GMT
> "Karen in NC" <sickofspam@nospam.com> wrote in message

> > Julie, I have the same type of bruises on my stomach/upper abdomen from
> > my Byetta injections.  Sometimes the bruises are small, sometimes
[quoted text clipped - 4 lines]
> when I am counting the 6 or 10 seconds, depending on the insulin I am
> using.

Julie, shouldn't you be injecting subcutaneously, rather than
intramuscular. It's not like you're trying to do a peritoneal injection, as
with DMSO.

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Julie Bove - 23 May 2008 09:11 GMT
>> "Karen in NC" <sickofspam@nospam.com> wrote in message
>
[quoted text clipped - 11 lines]
> as
> with DMSO.

Hmmm...  That video you showed me said to pinch the skin up gently.  The
nurse said to pull it up really hard and firm.  Maybe that's why?
Nick Cramer - 23 May 2008 08:52 GMT
> "Julie Bove" <juliebove@verizon.net> wrote in message

> > Is this normal?  I looked down today to see where I hadn't injected
> > before and saw a huge bruise!  I tried not to pinch the skin up in that
[quoted text clipped - 11 lines]
> > hip bones into the prongs.  I swear I had permanent bruises there for a
> > couple of years.

> Julie, I have the same type of bruises on my stomach/upper abdomen from
> my Byetta injections.  Sometimes the bruises are small, sometimes they're
> huge. However, I bruise **very** easily, and I know you just said you
> don't...so I don't know how helpful my input is to you.  :-)

Julie, at what angle do you hold the pen when you inject yourself. I've
never used a pen, but when I was shooting insulin, I used to hold the
syringe at between 15 and 30 degrees off the skin (it's been 13 or 14
years, so I don't remember exactly). You might find this URL interesting.
They also talk about Lantus. http://www.apidra.com/how_to_take/default.aspx

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Julie Bove - 23 May 2008 09:08 GMT
> Julie, at what angle do you hold the pen when you inject yourself. I've
> never used a pen, but when I was shooting insulin, I used to hold the
> syringe at between 15 and 30 degrees off the skin (it's been 13 or 14
> years, so I don't remember exactly). You might find this URL interesting.
> They also talk about Lantus.
> http://www.apidra.com/how_to_take/default.aspx

I don't know angles.  I just push it straight in.

Thanks!
Ozgirl - 23 May 2008 09:28 GMT
>> Julie, at what angle do you hold the pen when you inject yourself.
>> I've never used a pen, but when I was shooting insulin, I used to
[quoted text clipped - 4 lines]
>
> I don't know angles.  I just push it straight in.

Strange, I was taught angles.

That was with regular syringes not pens though.
Tiger_Lily - 23 May 2008 17:03 GMT
>>> Julie, at what angle do you hold the pen when you inject yourself.
>>> I've never used a pen, but when I was shooting insulin, I used to
[quoted text clipped - 7 lines]
>
> That was with regular syringes not pens though.

the new needles are SO short, Jan, that injecting at an angle is no
longer necessary

when i was diagnosed, needles were 1 inch long, now they are 1/4 in or
smaller (5mm and 6mm)

i use an 8 or 12mm needle tip

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Julie Bove - 23 May 2008 17:43 GMT
>>>> Julie, at what angle do you hold the pen when you inject yourself.
>>>> I've never used a pen, but when I was shooting insulin, I used to
[quoted text clipped - 14 lines]
>
> i use an 8 or 12mm needle tip

Mine are 1/2".
Tiger_Lily - 23 May 2008 19:07 GMT
>>>>> Julie, at what angle do you hold the pen when you inject yourself.
>>>>> I've never used a pen, but when I was shooting insulin, I used to
[quoted text clipped - 15 lines]
>
> Mine are 1/2".

that's 12mm

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Julie Bove - 23 May 2008 21:14 GMT
>> Mine are 1/2".
> that's 12mm

See?  I told you I wasn't good at math!
Dennis R. - 24 May 2008 02:07 GMT
> >> Mine are 1/2".
> > that's 12mm
>
> See?  I told you I wasn't good at math!

I buy 8 mm x 30 gauge or even 6 mm x 31 gauge needles for my Novo pen. I
have always shot at a right angle (90 degrees) or straight in to the
skin. I get bruising two ways; either by pinching too hard, or by
hitting a capillary.

Dennis (Type 2)
Julie Bove - 24 May 2008 05:13 GMT
>> >> Mine are 1/2".
>> > that's 12mm
[quoted text clipped - 5 lines]
> skin. I get bruising two ways; either by pinching too hard, or by
> hitting a capillary.

Thanks!  I think I was pinching too hard.  The nurse told me to do that to
make the skin firm.  I was pinching the skin up REALLY hard.
Ozgirl - 24 May 2008 05:28 GMT
>>>>> Mine are 1/2".
>>>> that's 12mm
[quoted text clipped - 8 lines]
> Thanks!  I think I was pinching too hard.  The nurse told me to do
> that to make the skin firm.  I was pinching the skin up REALLY hard.

You don't need it to be firm, just up and away from painful areas. Thighs
are not a place I can shoot comfotably, the left-over baby bell I can.
Julie Bove - 24 May 2008 06:08 GMT
>>>>>> Mine are 1/2".
>>>>> that's 12mm
[quoted text clipped - 11 lines]
> You don't need it to be firm, just up and away from painful areas. Thighs
> are not a place I can shoot comfotably, the left-over baby bell I can.

I would not try the thighs.  My legs look like Nicole Richie's when she was
at her thinnest.
Ozgirl - 24 May 2008 06:21 GMT
>>>>>>> Mine are 1/2".
>>>>>> that's 12mm
[quoted text clipped - 15 lines]
> I would not try the thighs.  My legs look like Nicole Richie's when
> she was at her thinnest.

Which gives even more weight to the thought you most likely do have
Cushings. Finding someone to test you properly and thoroughly could prevent
a lot of the grief you are going through. I have only ever known two person
in real who were diagnosed with Cushings. Both had remarkable health changes
for the better after treatment started. The woman had the most pronounced
physical signs of Cushings. The man just had a set of unusual symptoms that
pointed to diabetes but wasn't.
Tiger_Lily - 23 May 2008 03:50 GMT
> Is this normal?  I looked down today to see where I hadn't injected before
> and saw a huge bruise!  I tried not to pinch the skin up in that area, but
[quoted text clipped - 12 lines]
>
> Thanks!

press down firmly on the injection site for at least 30 sec after you
withdraw the needle

Signature

kate
type 1 since 1987
www.diabetic-talk.org
http://www.diabetes-support.org.uk/newly%20diagnosed.html

Julie Bove - 23 May 2008 04:01 GMT
> press down firmly on the injection site for at least 30 sec after you
> withdraw the needle

Okay.  Thanks!
Andrew B. Chung, MD/PhD - 23 May 2008 09:35 GMT
> Is this normal?

No.  It would suggest that you have a tendency to bleed.

> I looked down today to see where I hadn't injected before
> and saw a huge bruise!  I tried not to pinch the skin up in that area, but
[quoted text clipped - 6 lines]
> I should add I do not bruise easily and I can't remember the last time I had
> a bruise.

Would suggest you inform your doctor about this new development.

Be hungry... be healthy... be hungrier... be euglycemic...

Marana tha

Prayerfully in the awesome name of LORD Jesus Christ,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/3558812d72ab4e17?
hemyd - 23 May 2008 12:06 GMT
> Is this normal?  I looked down today to see where I hadn't injected before
> and saw a huge bruise!  I tried not to pinch the skin up in that area, but
[quoted text clipped - 12 lines]
>
> Thanks!

I get the occasional bruise, Julie. Someone explained in another thread a
while ago that it happens when you accidentally hit a small vein. That in
itself, he said, is not dangerous, but it does cause a bruise. I don't know
why you get many bruises - I suppose some people bruise easily. there may,
of course, be a reason other than that, and I would certainly investigate it
further. Many years ago, before I was diagnosed with diabetes, I went
through a phase where I'd break out in bruises for the slightest reason,
such as a bump. That eventually went away. I don't know why it happened, and
I don't know why it went.

Henry Mydlarz.
Julie Bove - 23 May 2008 15:48 GMT
> I get the occasional bruise, Julie. Someone explained in another thread a
> while ago that it happens when you accidentally hit a small vein. That in
[quoted text clipped - 5 lines]
> slightest reason, such as a bump. That eventually went away. I don't know
> why it happened, and I don't know why it went.

I know I must have hit a vein when I had that one that wouldn't stop
bleeding.  Not sure about the others, and I don't bruise easily.  Thanks!
krom - 23 May 2008 23:10 GMT
if the area is still wet with alcohol when u inject it could cause a
reaction too...

my finger sticks hurt like hell till i started just sticking without and my
finnger wernt as scared lookin etc..got that tidbit from u all like 2 weeks
after i was doing it with alcohol.

KROM

>> I get the occasional bruise, Julie. Someone explained in another thread a
>> while ago that it happens when you accidentally hit a small vein. That in
[quoted text clipped - 8 lines]
> I know I must have hit a vein when I had that one that wouldn't stop
> bleeding.  Not sure about the others, and I don't bruise easily.  Thanks!
Julie Bove - 23 May 2008 23:15 GMT
> if the area is still wet with alcohol when u inject it could cause a
> reaction too...

It's not.  I learned that after my first painful injection in the hospital.
The nurse didn't tell me to allow the alcohol to dry so I didn't.  Injected
right through it.

> my finger sticks hurt like hell till i started just sticking without and
> my finnger wernt as scared lookin etc..got that tidbit from u all like 2
> weeks after i was doing it with alcohol.

I've never done a finger stick with alcohol.  At some labs, they do.  But at
my Endo., they just use water on a cotton ball.
 
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