Studying the effect of the correct insulin injection technique training and single use of needles for insulin pens on the control of blood glucose and daily dose of injected insulin in diabetic patients receiving multiple insulin injections

2017 ◽  
Author(s):  
Inna V. Misnikova
Keyword(s):  
Blood Glucose ◽  
Insulin Injection ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Daily Dose ◽  
Single Use ◽  
Insulin Pens

Systematic Inspection of Insulin Injection Sites for Local Complications Related to Incorrect Injection Technique

1996 ◽  
Vol 26 (4) ◽  
pp. 159-161 ◽  
Author(s):  
Berhane Seyoum ◽  
Jemal Abdulkadir
Keyword(s):  
Blood Glucose ◽  
Insulin Dose ◽  
Fasting Blood Glucose ◽  
Insulin Injection ◽  
Diabetic Control ◽  
Common Finding ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Local Complications ◽  
Significant Difference

We systematically inspected insulin injection sites in 100 insulin-requiring patients attending the Diabetic Clinic of the Tikur Anbassa Hospital (TAH) in order to identify local complications related to incorrect injection technique: local complications were found in 53 cases: skin hyperpigmentation and/or indurations in 30 patients; and fat atrophy or hypertrophy in 31 patients. Illiteracy was significantly more common among those with local complications (18/53 versus 6/47, χ2 5.03, P < 0.05). Mean fasting blood glucose on the day of the inspection was significantly higher (14.9 +6.3 mmol/l versus 10.5 + 6.1 mmol/l, P < 0.001) and a fasting blood glucose > 10 mmol/l more common (41/53 versus 20/47, χ2 14.1, P < 0.0005) in those with than in those without local complications. There was no significant difference between the two groups in mean duration of diabetes (6.9 + 5.6 years versus 6.6 + 5.8 years), frequency of hypoglycaemic episodes (12/53 versus 5/47, χ2 1.76, P > 0.05) or mean daily insulin dose (44 + 18 units versus 44 + 22 units per day). Therefore, we concluded that local complications resulting from incorrect injection technique, a common finding in the group of patients studied, may be common among insulin requiring diabetic patients in general. Incorrect insulin injection causes local complications and disfigurement which may compromise compliance. Furthermore, insulin absorption tends to be erratic from intradermal and fat hypertrophy sites thus interfering with effective diabetic control. Insulin injection sites should be inspected routinely to detect and correct faulty technique promptly.

scholarly journals Assessment of Insulin Injection Technique Among Diabetic Patients in Makkah Region in Saudi Arabia

Cureus ◽  
2020 ◽  
Author(s):  
Ghadeer A Alhazmi ◽  
Rafal N Balubaid ◽  
Samaher Sajiny ◽  
Rufaydah Alsabbah
Keyword(s):  
Saudi Arabia ◽  
Insulin Injection ◽  
Injection Technique ◽  
Diabetic Patients

scholarly journals Optimizing insulin injection technique and its effect on blood glucose control

2014 ◽  
Vol 1 (4) ◽  
pp. 145-150 ◽  
Author(s):  
Giorgio Grassi ◽  
Paola Scuntero ◽  
Rosalba Trepiccioni ◽  
Francesca Marubbi ◽  
Kenneth Strauss
Keyword(s):  
Blood Glucose ◽  
Glucose Control ◽  
Blood Glucose Control ◽  
Insulin Injection ◽  
Injection Technique

scholarly journals INSULIN TREATED PATIENTS

2016 ◽  
Vol 23 (05) ◽  
pp. 576-582
Author(s):  
Rizwana Kitchlew ◽  
Inayat Thaver ◽  
Shehryar Pervez ◽  
Ikram ul Haq
Keyword(s):  
Glycemic Control ◽  
Injection Site ◽  
Age Groups ◽  
Insulin Delivery ◽  
Insulin Injection ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Gender Groups ◽  
Insulin Use

Objective: To determine the trends in insulin injection technique and associatedcomplications in the local diabetic patients. Study Design: Cross-Sectional Descriptive study.Place and Duration of Study: This study was conducted in Department of Medicine at FatimaMemorial College & Hospital Lahore from 25th May 2015 to 25th October 2015. Patientsand Method: Three hundred patients above 18 years of age who presented in outdoor andindoor department of the hospital, gave consent were enrolled. The data was collected throughinterview and relevant physical examination; data was analyzed by using SPSS 20.0 version.Results: 300 diabetics were enrolled; 108 (36%) male and 192 (64%) female. Mean age inmales was 52.8±13.7 and in females was 52.2±11.8. Duration of insulin use was less than5 years in 175 (58%) and 5 years or more in 125 (42%). Insulin syringe of 8 mm gauge wasbeing used by 263 (87%). Abdomen was the injection site in 202 (67%); however, 279 (93%)rotated the injection site. The angle of injection was kept at 90 degrees by 254 (85%). Theneedle was reused for five or more times by 187 (52%) and 216 (72%) were self-injecting. Localcomplications were seen in 105 (35%); out of those pain was most commonly (35 %) reported.Among age groups significant association (p<0.05) was seen in site of insulin delivery, in agemore than 60 years more injected in abdomen. In gender groups more males (83%) wereself-injecting. Significant association (p<0.05) was seen in duration of insulin use and localcomplications. Majority, 126(72%) of those who were on insulin for less than 5 years did nothave complications. Conclusion: Majority of our patients had adopted reasonable techniquehowever repeated reinforcement can further improve appropriate insulin delivery, less wastageof insulin and better glycemic control with less chance of complications.

scholarly journals Insulin Injection Technique is Negatively Correlate to Short- and Long-run Glycemic Control in Type 2 Diabetic Patients with Long-Acting Insulin Analogue

2021 ◽  
Author(s):  
Yan Cheng ◽  
Qing-he Li ◽  
Fen-di Yi ◽  
Li-ping Chen ◽  
Lei Yuan ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Insulin Analogue ◽  
Insulin Injection ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Acting Insulin ◽  
Long Run ◽  
Long Acting

Abstract Objective: To observe the effects of insulin injection technique (IT) on short- or long-run glycemic control in type 2 diabetic patients (T2D) with long-acting insulin analogue. Methods: This was a single-center, cross-over, observational and open-labled study. Patients with T2D receiving long-acting insulin analogue insulin were enrolled as inpatients. The study period lasting for 5 days including a 1-day screen period and 4-day continuous glucose monitoring (CGM) period. During CGM period, patients injected insulin themselves from day 1 to day 2, and patient’s insulin IT was given by two independent specialist nurses, with insulin injected by nurses from day 3 to day 4. The primary endpoint was the correlation between the insulin IT and the mean amplitude of glycemic excursion (MAGE). Results: A total of 60 diabetic inpatients were recruited and completed the study. The mean score of patients’ insulin IT of patients was lower than that of nurses (p<0.05). We observed that the MAGE value was significant different between the two injections period (P<0.05), and needle reuse and rotation of injection site were negatively correlated to MAGE and HbA1c values, respectively. Conclusion: Insulin IT was negatively correlation to short- or long-run glycemic control in T2D patients with long-acting insulin analogue therapy.

scholarly journals Injection practices among the diabetes patients on insulin therapy in Chitradurga

2020 ◽  
Vol 7 (4) ◽  
pp. 1447
Author(s):  
B. M. Sindhu ◽  
B. M. Rashmi ◽  
G. Prashanth ◽  
M. R. Nagendra Gowda
Keyword(s):  
Injection Site ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Oral Hypoglycemic Drugs ◽  
Study Participants ◽  
Sharps Injury ◽  
Injection Practices

Background: Diabetes mellitus has emerged as a global health problem. Insulin is the essential treatment modality for significant number of diabetic patients. Nearly 4 out of 10 patients with T2DM in India are using insulin, either alone or in combination with oral hypoglycemic drugs (OADs). The present study was conducted with the objectives to assess the knowledge and insulin injection practices, risk factors of sharps injury among diabetic patients who are on insulin treatment.Methods: Cross sectional study was conducted at a Basaveshwara hospital, Chitradurga, among diabetic patients on insulin treatment for minimum of past 6 months. Insulin injection technique questionnaire (ITQ) was administered to study participants and proforma was filled by interview technique.Results: 100 patients participated in the study. Syringe and needle device and 6 mm needle are most commonly used devices. 5-10 seconds was the most common duration of time (54%) for which the patients continued to keep the needle inserted in injection site after insulin injection. A 26% patients had lip hypertrophy at injection sites. Among households of the insulin users, a high percentage of children (41%) and house keeper/waste collectors (32%) were at risk of sharps injury. A majority of 55% of the insulin users reported that they didn’t have appropriate disposal containers for the used sharps.Conclusions: A 29% of participants did not practice proper rotation of injection site. Reuse of insulin needles was common practice. Pain/tenderness, lipo-hypertrophy and leakage of insulin after injection were noted at injection site. 10 seconds dwell time was reportedly practiced by only 23%, about half of patients skipped insulin injections and didn’t follow appropriate disposal of used sharps, thereby exposing both family members and waste collectors/handlers to higher risks of sharps injuries.

scholarly journals Insulin-Related Lipohypertrophy: Ultrasound Characteristics, Risk factors, and Impact of Glucose Fluctuations

2021 ◽  
Author(s):  
Yiyang Lin ◽  
Wei Wang ◽  
Junfeng Hong ◽  
Hua Zeng
Keyword(s):  
Blood Glucose ◽  
Glucose Monitoring ◽  
Insulin Injection ◽  
Postprandial Glucose ◽  
General Information ◽  
High Rate ◽  
Detection Methods ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Glucose Fluctuations

Abstract BackgroundLipohypertrophy (LHT) has been suggested as an outcome of adipogenic effects of insulin injection-related tissue trauma. It is common clinically, but the current understanding of LHT by medical staff and diabetic patients is still insufficient, and it has not attracted attention as a research topic.ObjectiveThe aim of this study was to investigate the ultrasound characterization of LHT, to identify factors associated with the development of LHT by assessing the prevalence of LHT compared to both clinical palpation and ultrasound detection methods, and to further evaluate the possible impact of LHT on patients' blood glucose fluctuations.MethodA cross-sectional study was established, in which 120 patients with type 2 diabetes were selected. General information was registered in the form of a questionnaire, and the patients were evaluated for LHT by ultrasonography and clinical palpation of the abdomen. Patients were instructed to inject equal amounts of insulin in LHT and normal adipose tissue (NAT) on a non-consecutive 2 d in a selected week, and the possible effect of LHT on patients' blood glucose fluctuations was assessed using a continuous glucose monitoring system. .ResultsLHT has special ultrasonic signs. We found a high rate of missed clinical palpation of LHT compared with ultrasonography (P < 0.05). The duration of insulin treatment, whether to rotate the injection site, frequency of needle use, and number of insulin injections per day were the main factors influencing the development of LHT (P < 0.05). Compared to NAT, LHT resulted in elevated largest amplitude of glycemic excursion, mean blood glucose, standard deviation of blood glucose, and postprandial glucose excursion, and large fluctuations in blood glucose (P < 0.05).ConclusionUltrasonography can detect more LHT than can clinical palpation. The development of LHT is related to many factors and can lead to significant blood glucose fluctuations; thus, LHT should be given sufficient attention.

Assessment of insulin injection technique among diabetic patients

2021 ◽  
Author(s):  
Hadj Sliman Chayma Bel ◽  
Zouaoui Chadia ◽  
Sawsen Essayeh ◽  
Bchir Najla ◽  
Ouertani Haroun
Keyword(s):  
Insulin Injection ◽  
Injection Technique ◽  
Diabetic Patients

Change In TXB2, MDA And AMP Levels During Artificial Pancreas Treatment On Diabetic Patients

1981 ◽  
Author(s):  
G Braun ◽  
C Guimont ◽  
Ph Voisin ◽  
D Rousselle ◽  
P Drouin ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Ex Vivo ◽  
Artificial Pancreas ◽  
Blood Glucose Control ◽  
Insulin Injection ◽  
Diabetic Patients ◽  
Insulin Dependent ◽  
Regulation Mechanisms ◽  
Insulin Dependent Diabetic ◽  
Synthetic Capacity

A study carried out on 9 insulin-dependent diabetic patients undergoing continuous blood glucose control by means of ex-vivo insulin injection (artificial pancreas - Biostator) has revealed : a relationship between the synthetic capacity of TXA2 (proaggregating molecule) by the platelet and the blood glucose level prior to feed back control. Concurrently, an identical relationship is observed in the case of platelet AMPc levels.After 24 hours of artificial pancreas treatment, it is noted that the greater the effectiveness of the treatment, the greater the increase in the synthetic capacity of TXA2. This observation is confirmed after 48 hours of treatment.Further, the relationship between MDA and Thromboxane B2 synthetized from the same precursory molecules is reversed during treatment.On the basis of these results we may assume that there is a disturbance in the regulation mechanisms of platelet synthesis during diabetes, but that these mechanisms are parthy reversible after artificial pancreas treatment.

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