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Today however, the shot barely hurt but half an hour later I got a shooting pain down my arm and around my elbow, its now spread into my armpit but it doesnt really go down to my wrist its mainly upper arm and armpit but its slightly creeping into my neck and shoulder

While its good practice to keep all unopened insulin vials in the fridge (FITTER recommends a refrigerator temperature between 36 and 46 degrees Fahrenheit), its worth noting that cold insulin taken directly from the fridge may sting or burn when injected, Milsted noted

Seek medical advice if you experience: Persistent or severe nausea and vomiting that prevents adequate fluid or food intake, or lasts beyond the first few weeks of treatment Signs of dehydration : extreme thirst, dizziness, reduced urine output, dark concentrated urine, confusion, or rapid heartbeat Severe or persistent abdominal pain , particularly if accompanied by vomitingthis may indicate pancreatitis, a rare but serious adverse effect