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-   -   Is cold insulin painful (http://k9diabetes.com/forum/showthread.php?t=1003)

peggy0 12-29-2008 06:02 AM

Is cold insulin painful
I've read that giving cold insulin is painful for your doggie and you should prepare the shot an hour before giving it to them? Is this true? My dog seems to whimper when I give him a shot. I'm not sure if its frustration or pain. He's not use to this whole diabetic life poor thing. :(

Any advice is appreciated.

We Hope 12-29-2008 07:04 AM

Re: Is cold insulin painful

It's true about cold insulin stinging, but you don't need to necessarily prepare the shot an hour before giving it.


"Injecting cold from the refrigerator insulin can sting, regardless of what species, type or brand. Bringing the insulin to room temperature by removing it from the fridge before actually using it can help avoid painful injections. Warming the capped insulin syringe with your hands can have the same effect. Some people tuck the capped and filled syringe under their arm for a few minutes to warm it before use.

"Do NOT attempt to warm insulin using a stove, microwave, etc.; you may destroy the insulin by doing so."

You might want to take the vial out of the fridge an hour before you plan to draw from it, thus bringing it to room temperature.

One VERY important thing is that most are using an insulin which needs to be re-suspended before it's injected--otherwise you won't get the insulin to work properly if you don't.


"Cloudy insulins must be rolled between the hands or gently rotated and inverted several times slowly, to evenly re-suspend the insulin particles in the liquid, before injection. Continue until the suspension looks uniformly milky or cloudy from end to end.

"If you don't roll a cloudy insulin, you will inject an incorrect concentration of the insulin, leading to unpredictable insulin action. Worse, if you repeatedly inject a poorly-resuspended insulin, the remainder of the vial or cartridge will change its concentration!

"Pre-filled syringes and insulin pens containing "cloudy" insulins also need to be rolled or re-suspended before injecting. Gently rolling the pre-filled syringe as is done with a vial will re-suspend it. The instructions with insulin pens and cartridges describe the technique for re-suspending before use.

"If you shake or drop the insulin, you can cause frothing, which will denature (physically damage) the fragile insulin molecules, and weaken the insulin, again leading to unpredictable insulin action.

"Shaking also creates many air bubbles which go into the syringe along with the insulin. They are harmful in the respect that when there's air in the syringe, the full unit dose of insulin isn't able to be drawn and injected."

Syringes should be used with the bevel side of the needle pointing upward:



The thread at the link above in our "Answers" section has a lot of helps in it about giving shots.



Cara's Mom 12-29-2008 03:18 PM

Re: Is cold insulin painful
Hello Peggy,
Have been following the thread with interest. Your question about cold insulin was very timely! Normally I pay lots of attention to warming the insulin...this morning we were a little hurried...did not pay enough attention..and Cara sure let me know I screwed up:(:( So yes, cold insulin hurts:o:o.
A couple weeks ago we had lots of trouble with the shots..she yelled at me several times. Have now changed gauge size from 28 to 29(can only get those in the States!!) and watch closely that the bevel edge is up and have had no more complaints. I even mark the syringe:o so I do not turn the syringe prior to the shot.
So keep up the good work, you will get there! We did!!

peggy0 12-29-2008 05:00 PM

Re: Is cold insulin painful
I'm so excited. Please don't laugh :) I held the syringe in my hand for a bit and then made sure the beveling was correct and victory!! He didn't even flinch. When I went to give him his treat, he thought I was going to give him a shot and turned to walk away!!!!!

Thanks so much for your help. I'm sooooooooooooooo glad I found you all.


k9diabetes 12-29-2008 05:05 PM

Re: Is cold insulin painful

It usually doesn't take much to warm it up. We didn't give a lot of units so just sitting on the counter while we did other things was enough to take the chill off.

Chris used to get a bit impatient for the mini milkbone he got after each injection and he'd want me to hurry up and give him his shot so he could have it.


eyelostit 12-29-2008 08:16 PM

Re: Is cold insulin painful
Hi, when i feed i first take the insulin out of the fridge, then i feed, wait the 1/2 hour, by that time the insulin is at room temp.

Hope this helps, Good Job!!:)

Ginny Dudek 12-30-2008 01:26 PM

Re: Is cold insulin painful
Starz knew when the insulin was cold and would give me a dirty look. I would roll the syringe between my fingers until the chill was gone. This did the trick, in a short amount of time.

peggy0 12-30-2008 02:12 PM

Re: Is cold insulin painful
I did exactly that this am and it worked like a charm :) Thanks all

Ricksma 12-31-2008 06:05 AM

Re: Is cold insulin painful
I fill Ricky's syringe before he eats, and while he is eating, I hold it under my arm. When he is finished eating, it is nice and warm and ready to inject.

Love and hugs, Teresa and Ricky

eyelostit 01-09-2009 09:25 PM

Re: Is cold insulin painful
At food time I take my bottle out of the frig and put it on my table, then i feed, when the 1/2 hr is up after food the insulin is at room temp.

Hope this helps.:)

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