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Insulin Injection Technique

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Key Barriers to Insulin Initiation

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

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

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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

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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

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Injection Site Rotation

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Pen Injection Technique

Injection Techniques

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How is the correct Pinch Up?

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Angle of Needle with a pinch

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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 solutionbecomes milky white

Insulin Storage and Suspension

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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 lipohypersthrophyuntil 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

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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

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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

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Pen Injection Technique

Ensure that no air bubbles are present in the pen

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