Remove all air bubbles from the syringe before the injection. Pdf purpose the purpose of the study is to assess whether proper injection technique it is associated with improved glucose control over a three. They contain insulin instead of ink and have a dial for setting the dose. Injecting complications and the role of the professional. Improvement of insulin injection technique the diabetes educator. Your nurse or doctor will help you select the best sites to administer your. Instruct the caregiver to note the time, dose, and site of the injection, especially if insulin is being given and the caregiver is rotating sites.
A separate article in this issue covers the remainder of the itq and is titled worldwide injection technique questionnaire study. Injecting into the same spot too oft en can cause skin problems and can impair insulin absorption. Importance of injection technique in diabetes choosing the correct site the subcutaneous tissue is quite easy to reach from all injection sites on the body surface. Commencing insulin therapy 4 injection technique your diabetes educator or doctor will provide step by step instructions and demonstrate how to draw up and administer your insulin. Diabetes is a serious lifelong health condition that occurs when the amount of glucose in the blood is too high because the body cannot use it properly. How to give an insulin injection what you need to know.
Lh is an anabolic process involving fat tissue at the sites of insulin injections. Insulin regimen includes multi component insulin regimens, multiple daily injections mdi or insulin infusion devices1. To locate injection sites on the arms, fold one arm across the chest. Potential insulin injection sites include the abdomen, thighs, buttocks or arms. Your healthcare professional can help you to learn an injection technique that will make your insulin therapy as effective and successful as possible. Remember to pull the needle out at the same angle it. Apply slight pressure for 58 seconds, but do not rub the site. Results and analysis of the 20082009 insulin injection technique questionnaire survey j diabetes, 2 3 2010, pp. If this is a concern, talk with your doctor about splitting your dose. Who best practices for injections and related procedures. Starts to work within 1520 minutes after injecting. Who best practices for injections and related procedures toolkit. In this type of injection, a short needle is used to inject insulin into the fatty layer between the skin and the. Insulin injection technique for diabetics in hindi dr.
Approved dose for glabellar line treatment is 4 units per 0. Insulin leaking from injection site its not unusual for insulin to leak out from the injection site after you withdraw the needle. Procedure for subcutaneous injection of insulin or glp1. The first and second editions of the fit recommendations have been shared with over 30,000. Teaching injection technique to people with diabetes. The needle is injected into the fatty tissue just below the skin layer and above the muscle layer. If you think you are injecting into the muscle, you may want to change your technique or ask your gp to prescribe shorter needles the steps below are a broad guide to injecting insulin. Effective insulin injection technique is essential to ensure optimal management of diabetes. There are over 30 different insulin available in the uk so. Insulin is injected subcutaneously, which means into the fat layer under the skin. If you clean your skin with an alcohol pad, wait until it has dried before you inject insulin. The species and dosage of insulin used should be consistent and the patients.
These evidencebased recommendations will help guide the education of patients and health care professionals to deliver safe and effective injections. Trend uk releases insulin safety leaflet trend diabetes. Best practice diabetes injection technique is key to improved. A total of 171 centres from 16 countries participated in the studies, which looked at. Pdf background in 20142015, the largest international survey of insulin injection technique in patients with diabetes taking insulin was. Singlecenter us survey of insulin injection technique in patients. If you are using a cloudy insulin, gently roll the pen between your hands to mix the insulin.
Principles of injection technique becton dickinson. Write down how much insulin you injected, the time of day, and site. Forum for injection technique fit, india the forum for injection. Botox cosmetic onabotulinumtoxina reconstitution1 botox cosmetic injection techniques. Best practice guideline to support correct injection technique in diabetes care page 7 health professionals must teach best practice injection technique when insulin and glp1 ras are initiated including. Injections products insulin is given by subcutaneous injection. Diabetes is a serious lifelong health condition that occurs when the amount of. An abridged version of the fit first indian insulin injection technique recommendations was published. Dec 11, 2011 this is a video guide on how to inject insulin. Full text get a printable copy pdf file of the complete article 773k, or click on a page image below to browse page by page.
King l 2003 subcutaneous insulin injection technique. Diabetes care in the uk fit uk forum for injection technique uk. Get a printable copy pdf file of the complete article 495k, or click on a page image below to browse page by page. By sticking with a healthy injection routine, your injections may be less painful and you can reduce your risk of developing complications like. If the insulin has been stored in the refrigerator, remove it 30 minutes before you inject it. Dose, dilution, reconstitution, and injection techniques. Injection sites for insulin include the upper arm, anterolateral upper thigh, abdomen, and buttocks. Diabetes care in the uk fit uk forum for injection. In a separate article in this issue we introduce the worldwide injection technique questionnaire itq survey. Injection technique is critical to the therapeutic success of insulin.
When you are injecting insulin, you should aim to inject into the fatty tissue just underneath the skin. In keeping with these objectives, sign has developed this toolkit for injection safety and related procedures. Those who administer insulin should understand how it works, in particular its link to blood glucose levels. The presence of lipohypertrophy at an insulin site indicates that another site should be. A disposable pen needle is attached to the end of the pen prior to injecting. Subcutaneous insulin injection technique the aim of this article is to update general nurses knowledge of insulin injections. Opportunities for improving outcomes with insulin injections. Improper use or reuse of injection devices may lead to undesirable consequences.
It is important for each person to use the needle length and injection technique that best suits their needs. A literature search on injection technique and preservation of insulin was done. Larger doses of insulin 30 units or more may be uncomfortable. Once you are at home, refer to this booklet and the notes that have been made to remind yourself of any aspect of your care.
May 01, 2017 trend uk has published an insulin safety leaflet. Effects of accidental intramuscular injection on insulin absorption in iddm. Forum for injection technique, and fully support the continued work of the fit board and fit associates who continue to expand the boundaries of best practice within the fields of insulin injection and. If left untreated, high blood glucose levels can cause serious. Diabetes nurses and observant patients have long known that the technique of injection is critical to the successful use of insulin, but the medical community at large and most insulin injecting patients remain woefully. Cover the injection site with your finger or a cotton ball or gauze.
If some insulin leaks from the injection site, press down on your skin for 510 seconds with a clean tissue to absorb it and stop the flow. This brief communication discusses current knowledge related to injection technique, while. The patient booklet is entitled keeping safe with insulin therapy because insulin management and prescribing errors are very common and can lead to patient harm. Results and analysis of the 20082009 insulin injection technique questionnaire survey. Teaching objectives identify age appropriate injection site instruct injection technique 3. Correct insulin injection technique is a crucial aspect of diabetes. Forum for injection technique fit, india recommendations. Best practice guideline to support correct injection. Once you have started using a vial of insulin, it can be kept at room. Injecting into the same spot too oft en can cause skin.
The aim of this guideline is to provide evidencebased injection technique recommendation. Use alcohol to clean the end of the pen where the needle twists on. They contain insulin instead of ink and have a dial for. The steps below are a broad guide to injecting insulin. Forum for injection technique, and fully support the continued work of the fit board and fit associates who continue to expand the boundaries of best practice within the fields of insulin injection and medication management. Apr 22, 2020 insulin mixing is done to provide both immediate and longlasting effects in dealing with high blood glucose levels. Your nurse or doctor will help you select the best sites to administer your medication. Provides 24hour insulin coverage and may be given 1 to 2 times per day. After first use, improper insulin injection technique, allergy to nursing stable atinterventions room temperature insulin cleansing solution. Diabetic patients who dont know proper injection techniques may administer insulin incorrectly, leading to poor glycemic control and adverse outcomes, a new study from iraq finds. The patient booklet is entitled keeping safe with insulin therapy because insulin management and prescribing errors are very common and.
We conclude that most boys and some girls who use the perpendicular injection technique may often inject insulin into muscle, and perhaps on occasions into the peritoneal cavity. Permanently attached needles, also known as integral needles, reduce the amount of medication waste. Insulin injection tips if your treatment plan includes injection therapy, it is especially important to follow a healthy injection routine, including proper site selection, rotation and injection technique. Giving a subcutaneous injection locating injection sites subcutaneous injections can be given in the arms, legs, or abdomen. There are various insulin regimens available, such as basal only, basalbolus and mixed insulin. Choose age appropriate sites for injection demonstrate correct injection technique using insulin 4.
Insulin can be injected using either an insulin pen or a syringe and vial. Jul 11, 2016 larger doses of insulin 30 units or more may be uncomfortable. Several factors influence the success of insulin injection therapy, injection technique being highly variable and operatordependent. If you had it in the refrigerator or cooler bag, take it out 30 minutes before the injection. Rubbing ice on your skin before injecting may also help. Teaching injection technique to people with diabetes january 2017 for people with diabetes who take insulin or other injectable diabetes medications, the diabetes educator can.
Since a diabetes diagnosis doesnt come with an easytoread user manual, we put together this stepbystep guide to performing an insulin injection. Because you will be injecting insulin on a regular basis for diabetes, you need to know where to inject it and how to rotate move your injection sites. Results of an international study comparing brazil, latin america and world data article pdf available in diabetology and metabolic syndrome 101. For example, if you choose to use your abdomen, rotate injection. Pdf optimizing insulin injection technique and its effect on blood. To date, insulin therapy remains the cornerstone of diabetes. Using syringes allow you to mix different types of insulin, whereas other injection methods such as insulin pens dont. The importance of choosing the optimal injection site for the prescribed insulin. Store unopened insulin and glp1 ra in the fridge, as per manufacturers instructions at 48 degrees. Checklist for education of initiation of injectable therapies. Place your hand on the shoulder and draw an imaginary. Nov 04, 2014 insulin injection technique for diabetics in hindi dr. The booklet provides information on dosage, technique and devices.
Once you have started using a vial of insulin, it can be kept at room temperature for a month. Recommended sites for injection take into account that most of the time the therapeutic agent is being selfinjected except in children and people with disabilities. Fit forum for injection technique canada the forum for injection. When using a pen or vial for the first time, take it out of the fridge a half hour early so that it has time to warm up to room temperature. Fit uk forum for injection technique uk the forum for injection. To ensure rational and safe use of injections globally, better injection safety practices are. Full text full text is available as a scanned copy of the original print version. Procedure for subcutaneous injection of insulin or glp1 analogue using a pen device in adults page 3 of 18 1. If you plan to change your technique, check with your healthcare team, diabetic nurse or consultant for their advice. Improving your insulin injection technique the way that you insert your syringe or pen needle into your skin in order to get a proper dosage of insulin is called your insulin injection technique.1312 582 1516 306 193 55 1066 339 84 454 1261 719 850 968 693 236 1049 1054 1216 787 627 168 1086 670 133 1017 133 1052 1169 1301 32