Insulin Injection

Technique

Key Barriers to Insulin Initiation

More than 50% of patients are very worried about
starting on Insulin
More than 50% of patients believe that starting on
Insulin mean that they have failed to manage their
disease
Only 20% believe that
Insulin can help them
manage their disease
More than 33% of HCPs postpone
Insulin until absolutely essential

67% use Insulin as a threat for their patients

Rubin RR et al. Diabetes Care 2006;29:124955.

Blood vessels penetrate each

layer of skin

But BLOOD FLOW differs considerably from

one layer to another

Dermis : small but swift flow and highly

variable
Subcutaneous : slow flow and very stable
Muscle : large, swift flow and highly

Injection Sites

Adults
Studies have shown that IM Injections occur
in 12 -34 % of injections depending on :
Injection site
Body habitus of patient

Length of needle
Use of pinch or not
How long pinch held and when realesed

Thickness of SC in mm

Injection Site Rotation

Pen Injection Technique

Injection Techniques

How is the correct Pinch Up?

Angle of Needle with a pinch

SUMMARY

Insulin Storage and Suspension

Store insulin in current use at room temperature
(max 1 month and within expiry date )
Store unopenes insulin in an area of the
refrigerator when freezing in unlikely to occur
Cloudu insulin must be gently rolled and /or tipped
( not shaken) for 20 cycles until the solution
becomes milky white

Efek Samping Penyuntikan Insulin

LYPODYSTROPHY
&
LYPOHYPERTROPHY

Lipohypertrophy
Sites should be inspected by the HCP at very visit
Making two ink marks at opposites edges of the
lipohypertrophy
Patients should not inject into areas of lipohypersthrophy
until the abnormal tissue returns to normal
Switching injections from lipohyperthropy to normal tissue
The best current presentative and therapeutic strategies
for lipohypertrophy
Patients feels less pain when injecting in the lipohypertrophy

Slide 17

Tips of Making Injection Less

Painful
Keep insulin in use at room temperature
If using alcohol, injecting only when the alcohol has
fully dried
Avoid injecting at hair roots
Using shorter length and smaller dismeter needle
Using new needle at each injection

Pen Injection Technique

Pen Injection Technique

Re-suspension required for Pre-mix
and Intermediate acting Insulin
Gerakkan pena insulin
keatas dan ke bawah
sebanyak 10 x

Gulung Pena Insulin

diantara kedua telapak
tangan sampai dengan 10 x

&

10

Pen Injection Technique

Removing the Outer Cap

Pen Injection Technique

Ensure that no air bubbles are present in
the pen

11

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