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@avinash91

I'm so tired of injections that I've started skipping my insulin

I've had Type 1 since I was a kid and for years I was pretty good about doing what I needed to do. Lately something has changed and I just feel completely done with it.

It's not that I don't understand why I need insulin. I do. I'm just so tired of injections, checking my sugar, thinking about food and having diabetes sitting in the back of my mind all day. Sometimes I look at the injection and I just can't make myself do it.

I've started skipping insulin because of this and I'm scared by how easy it has become to tell myself I'll deal with it later. I haven't told my parents how bad it's gotten because I know they'll worry and I also feel embarrassed that I can't handle something I've been doing for years.

Has anyone else gone through a phase like this? How did you get yourself out of it?

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@ganeshrao

This sounds a lot like diabetes burnout. I went through a horrible stretch with it in my late teens. Every tiny diabetes task suddenly felt like someone asking me to climb a mountain.

Please tell someone though. Skipping insulin with Type 1 can become dangerous quickly. You don't have to solve the whole burnout problem tonight, but you shouldn't be carrying this by yourself.

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@avinash91

The embarrassing part is that I know it's dangerous. That's why I don't understand why I still keep doing it.

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@ganeshrao

Knowing something matters and having the mental energy to keep doing it every single day are different things. That's exactly why you need some support right now.

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@gauravmishra

Tell your parents and your diabetes doctor exactly what you wrote here. Not "I've been struggling a little." Tell them you've actually been skipping insulin because you can't bring yourself to inject sometimes.

That difference matters. They need to understand how serious the burnout has become.

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@avinash91

I'm mostly scared my parents will get angry and start watching everything I do again.

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@kavya-patel

You could start with whichever parent is easier to talk to and tell them that you're asking for help, not punishment. You already know what you're supposed to do. The problem is that you're struggling to keep doing it.

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@anupsharma

Have you ever discussed a pump with your endocrinologist? It doesn't make diabetes disappear and it isn't right for everyone, but for me reducing the number of injections removed a huge amount of the daily mental load.

Definitely something to discuss with your diabetes team rather than trying to change how you take insulin on your own.

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@avinash91

I've thought about a pump before but never seriously. I think I need to bring it up at my next appointment.

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nitinkapoor
@nitinkapoor

Even if you decide against it, tell them WHY you're asking. The injection burnout itself is important information for your doctor.

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@soniya-patel

I had Type 1 burnout around college. Mine wasn't injections, I just stopped checking properly and started avoiding anything diabetes related because seeing bad numbers made me feel worse.

What helped was making the goal smaller. I stopped trying to suddenly become the perfect diabetic again. First priority was doing the things that kept me safe, then I slowly rebuilt the rest with help from my doctor.

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@avinash91

This is exactly how it feels. Once I mess something up I avoid checking because I don't want to see the number, then avoiding it makes everything worse.

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@soniya-patel

Yep. That loop is awful. A glucose number isn't a grade on how well you're doing as a person. It's information you use for the next decision.

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@komalpatel

Just adding something important because you've mentioned actually skipping insulin. If you've missed insulin and you're currently very high, have ketones, or you're feeling sick, vomiting, unusually sleepy/confused, having stomach pain or breathing differently, please get urgent medical help rather than waiting for a forum answer.

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@deepak89

Sometimes asking for practical help is easier than asking someone to "help with diabetes." When I was burnt out I'd ask my sister to sit with me while I dealt with whatever I was avoiding. She didn't need to understand carb ratios or anything. I just needed another person there so I didn't keep putting it off.

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@avinash91

I never thought about asking for help like that. I always assumed if I ask for help it means someone has to take over everything.

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@deepak89

Not at all. Sometimes help is literally just someone sitting next to you for five minutes.

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@dilip-chavan

Been Type 1 for more than 15 years. There have been periods where I managed it really well and periods where I hated every single thing about it.

A rough period doesn't erase all the years you managed before this. But skipping insulin is the part I'd take seriously now. Tell your family and your diabetes team what's happening and let them help you find a way to make the routine less exhausting.

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@karanjoshi

Also please don't wait until your next routine appointment if that's weeks or months away. Call the clinic and tell them you're struggling to take your insulin consistently. This is exactly the kind of thing they need to know about.

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