Type 1 Diabetes and Your Child: Using Insulin
Your child’s pancreas no longer makes insulin. So the missing insulin must be replaced. Insulin can’t be taken by mouth because stomach acids destroy it before it can get into the bloodstream. Instead, insulin is given by injection into the fat just under the skin. It’s not hard to learn to give insulin injections.

Types of Insulin
There are two basic types of insulin. Fast-acting insulin is given before meals to cover mealtime blood sugar. Long-acting insulin provides a small amount in the bloodstream at all times. Your child will probably use both types of insulin. Your healthcare providers will work with you to find a combination that fits your child’s needs.
Storing Insulin
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Have a backup supply of insulin stored in the refrigerator.
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Store insulin you are currently using at room temperature. This can be done for up to 30 days. But make sure the insulin doesn’t get above 85°F (29°C).
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Do not freeze or shake insulin.
Tips That May Help
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Ask your team about devices that block the child’s view of the needle.
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To keep skin healthy, change injection sites each time.
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Give yourself an injection of distilled water, using an insulin syringe. That way, you’ll have a better idea of how an insulin injection feels.
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Insulin Delivery Methods
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A needle and syringe is the most common, least expensive option. It is covered by most insurance plans. This method allows mixing two kinds of insulin in the same syringe.
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An insulin pen is a device that includes a needle and a cartridge of insulin. Pens make it easy to measure the insulin and prepare the shot. In public places, a pen may attract less attention and be more convenient than a traditional needle.
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An insulin infusion pump can deliver insulin continuosly in very tiny amounts. About the size of a pager, the pump is attached to the child’s body by a long, thin tube and is worn all the time. Pumps are expensive, but some insurance companies cover them. Talk to your healthcare team about the benefits and risks of pump therapy for your child.
Date Last Reviewed:
9/28/2005
Date Last Modified:
9/28/2005