Proper technique is key as new insulin injection recommendations published
Published on 15 December 2016
Dr Kenneth Strauss, co-author and Medical Director at Becton Dickinson, said: “FITTER and these publications set new standards for insulin delivery. Tools are embedded in these publications, which will allow patients and professionals to quickly translate them into everyday practice. If these recommendations become routine practice, we should soon see the improved outcomes that come from optimised insulin delivery.”
The survey on insulin injection technique found that many people taking insulin were using needles that are longer and thicker than recommended, and were reusing the needles frequently.
One-third of those taking insulin had lipohypertrophy, or lipos - linked with incorrect rotation of injection sites and also problematic with insulin infused via pumps.
The survey also found that if people injected into lipos, the absorption of insulin was blunted and highly variable – which could cause people to react by injecting more insulin, which puts them at risk of unexpected glucose swings and dangerous hypoglycemia (low blood sugar levels).
Despite using more insulin, people with lipos had worse blood sugar control, increasing their risk of developing eye, kidney and nerve complications.
Dr Laurence Hirsch, co-author and worldwide vice president of Medical Affairs for BD Diabetes Care. “These new recommendations will help health care professionals and people with diabetes who take insulin to better manage their treatment.”
Dr Anders H Frid, lead author and Diabetologist at the Skane University Hospital, Malmö in Sweden said: “For more than 30 years, I have been studying injection sites, injection technique and insulin absorption. It is a wonderful accomplishment to now have comprehensive and evidence-based recommendations around proper needle use and good injection practices published in a major journal for health care professionals and people with diabetes around the world to access.”
Read the “Golden Rules” developed for Proper Injection Technique for Adults and Children; Treating and Preventing Lipohypertrophy, Psychological Issues around Insulin Delivery and Needle stick Injuries and Sharps Disposal at: http://www.fitter4diabetes.com
Read the report in Mayo Clinic Proceedings
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