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Insulin Injection

Technique

Key Barriers to Insulin Initiation

Rubin RR et al. Diabetes Care 2006;29:1249–55.

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

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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

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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

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Thickness of SC in mm

Injection Site Rotation

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Pen Injection Technique

Injection Techniques

How is the correct Pinch Up?

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Angle of Needle with a pinch

SUMMARY

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• 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

Insulin Storage and Suspension

Efek Samping Penyuntikan Insulin

LYPODYSTROPHY

&

LYPOHYPERTROPHY

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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

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Slide 17

• 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

Tips of Making Injection Less

Painful

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Pen Injection Technique

Pen Injection Technique

Re-suspension required for Pre-mix

and Intermediate acting Insulin

Gulung Pena Insulin

diantara kedua telapak

tangan sampai dengan 10 x

Gerakkan pena insulin

keatas dan ke bawah

sebanyak 10 x

&

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Pen Injection Technique

Removing the Outer Cap

Pen Injection Technique

Ensure that no air bubbles are present in

the pen

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