Insulin Injection sites and injection technique



Insulin Injection sites and injection technique

The forum for injection technique (FIT) was developed to establish and promote best practice in injection technique for all involved in diabetes care. FIT was established following the 2010 publication of the international ‘new injection recommendations for patients with diabetes’.

Poor injection technique can lead to injectable therapies not being absorbed properly. This may cause immediate problems such as hypoglycaemia and/or hyperglycaemia.

It’s important to:

• Educate patients with diabetes on how best to avoid negative injection outcomes such as lipohypertrophy and inflammation, which occur if there is not regular site rotation. The thighs, abdomen and buttocks are the current recommended injection sites.

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• Teach individual’s to examine their own injection sites and how to detect areas of lipohypertrophy

Injection process:

• Injections should be given in to a clean site, free from any signs of lipohypertrophy and inflammation.

• Use a new needle at each injection

• 4,5 & 6mm needles are suitable for all people with diabetes regardless of BMI

• Pen devices should be primed using a 2unit test dose

• Insert the needle in a quick smooth movement through the skin at a 90degree angle to the skin surface.

• To prevent possible IM injections when injecting into slim limbs and abdomens, even with short needles(4,5,6mm) may warrant use of a lifted skin fold

• After pushing the thumb button in completely the individual should count slowly for 6-10seconds before withdrawing the needle

• Massaging the site before or after the injection when using any type of insulin is not recommend as it may speed up the absorption rate

• Dispose of needle immediately after injection into a sharps box

ireland

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