Final answer:
Insulin injections are necessary because oral insulin would be inactivated by digestive enzymes, preventing it from regulating blood glucose levels.
Step-by-step explanation:
When a patient asks, "Why do I have to have insulin shots?" the appropriate response is that insulin is inactivated if taken by mouth and therefore must be given by injection. This is because the enzymes within the digestive system break down insulin, rendering it ineffective. Insulin injections are used to transport and store glucose to decrease blood glucose levels after consuming a meal. For people with type 1 diabetes, their bodies do not produce insulin, so they need to inject insulin to regulate their blood sugar levels.