Do not use a drug that is past the expiration date. Follow the pen manufacturers directions to prepare or prime your particular pen. Stay 1 inch away from the last few injection sites. Priming yourpen means removing theair from the needleand cartridgethat may collect during normal useand ensures that the pen is working correctly. To prime your pen, turn the dose knob to select 2units. Increases in anti insulin antibodies are observed more frequently with novolog than with regular human insulin. How you should inject depends on your build and the length of the needle. Over 8 months, from september 2008 to june 2009, 4352 insulin injecting patients with type 1 and type. Carefullyturn the bottle and the insulin syringe upside downso the bottle is on top.
Improper use or reuse of injection devices may lead to undesirable consequences. Insulin administration diabetes care american diabetes. International injection technique documents has been established. We used the terms subcutaneous injections, insulin, injection technique, insulin infusion, csii sets, infusion sets, and glucagonlike peptide1 receptor agonists glp1. With the victoza pen ba randomized, openlabel, 2period crossover trial in insulin treated patients n119 with type 1 or type 2 diabetes. The modern pen devices have various advantages over the conventional insulin delivery methods. Dec 23, 2017 in every insulin injection and show how critical this is for achieving optimal control of diabetes, noting that during the last few decades the recommended technique for insulin injection has changed 12. Insulin pen types there are many different types of insulin pens to choose from, and they are put into one of two groups. Storing the pen with the needle attached may let forteo leak from the pen, and air bubbles can form in the cartridge. Nonvisual recapping techniques can be taught to persons with low vision and good manual dexterity.
Prepare the insulin pen device, pen needle, alcohol swab. Dial up 2 or 3 units whichever the manufacturers recommends and, with pen tip facing upwards, push the dosing button. The time insulin is at its maximum strength or working the hardest to. Patients injected themselves with their usual insulin. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment. The purpose of this group was to evaluate the effect of appropriate injection technique training in patients who do not also receive a supply of short insulin pen needles. How to inject insulin a stepbystep guide diabetes canada. Prior to initiation of lantus, train patients on proper use and injection technique. Forum for injection technique fit, india recommendations. Nov 27, 2018 background in 20142015, the largest international survey of insulin injection technique in patients with diabetes taking insulin was conducted in 42 countries, totaling,289 participants. Best practice guideline to support correct injection technique in diabetes care page 7 health professionals must teach best practice injection technique when insulin and glp1 ras are initiated including. An insulin pen is an injection device that is about the size and shape of a magic marker.
Check the drug label to be sure it is what the doctor prescribed. Insulin pens consumer guide 2019 insulin pens novo nordisk levemir flextouch disposable insulin levemir dose delivery 1unit increments, dose delivery up to 80 units at a time total capacity 300 units details pen is navy with a. Pen, jet, and related injectors may provide an innovative approach to deliver drugs or. Teaching injection technique to people with diabetes american. Also, do not use if beyond number of days listed in table at. Injection technique is critical to the therapeutic success of insulin. Patients used both the novofine 32g tip 6 mm and the novofine 30g 8 mm with the flexpen injection device. Always make sure to use the injection technique and needle length recommended by your doctor or nurse. Unused pens may be used until the expiration date printed on the label, if the pen has been kept in the refrigerator. Optimizing insulin injection technique and its effect on. It delivers insulin into the fatty tissue below the skin usually in the arm, thigh, or stomach via a short, thin disposable needle. Giving yourself an insulin injection with the flexpen this information describes how to prepare and give yourself an insulin injection shot with the flexpen. Press the injection button all the way in and check to see that insulin comes out of the needle.
You can see the different injection techniques below. In children who are slim, when injecting into the limbs or abdomen, especially when using a 5 mm or 6 mm needle. Jun 15, 2020 how to use an insulin pen japanese bilingual pdf health information translations mixing two insulins japanese bilingual pdf. The correct sequence for injection technique should be. Dec 26, 2017 keywords diabetes, insulin, injection technique, insulin pens, insulin syringes, insulin needle reuse, patient education disclosure.
This injection technique guideline for diabetes educators and healthcare professionals. Insulin pen alcohol swab, or cotton ball moistened with alcohol pen needle parts of an insulin pen how to use 1. Now that you know your insulin is in good shape, youre ready to load it. After your injection carefully remove the needle and place it in a sharps container. Flextouchthe only prefilled insulin pen with no pushbutton extension1 accurate dosing from 1 to 80 units1 works with novo nordisk pen needlesa large, clear dosing window endofdose clickb prefilled with 300 units of levemir low injection force push button1 please see additional important safety information on next page. It provides important information so that patients can understand how to co. Insulin injection technique best practices expert recommendations on injecting insulin with pen and insulin syringe needles if you inject diabetes medication, you should know how important correct injection technique is for effectively managing your diabetes. Please talk to your healthcare provider about proper injection technique and follow instructions in the instruction leaflet that accompanies the pen. The userfriendliness and comfort of injection makes the. To work properly, insulin needs to be injected into. Clinical guiding principles for subcutaneous injection. Richard dolinar, md, is a member of the speakers bureaus of amylin, eli lilly, and takeda and a consultant for bd medical and pfizer.
Clinical guiding principles for subcutaneous injection technique. Hold pen with the needle pointing up and lightly tap the insulin reservoir so the air bubbles rise to the top of the needle. Patient should follow the instructions for use to correctly administer lantus. Use the pictures and steps listed below to learn how to use your pen. Insulin injection sites 20 international conference on diabetes.
Furthersupportforthemethod recently appeared in the patients magazine of the british diabetic association. If you are like paul and have two types of insulin, make sure you have the right pen for your injection. Do not share needles, insulin pens, or syringes with others. Cureus assessment of insulin injection technique among. For many people with diabetes, insulin pens are a more convenient and portable option than vials and syringes. If no stream of insulin appears, repeat this step again. Removing the pen needle from the insulin pen after the injection can prevent air from entering the insulin pen, infection resulting from bacteria entering the pen, and any leakage of insulin. You may give other people a serious infection, or get a serious infection from them. Strategies for insulin injection therapy in diabetes selfmanagement. Sep 01, 2016 the search was focused on the period between january 2008 and december 2015, although we had at our disposal the medical literature going back to 1980. Therefore, the correct insulin technique is very important to make sure patients receive optimal response from the insulin. Throw away the insulin lispro injection pen you are using after 28 days, even if it still has.
Insulin injection technique patient handout diabetestalk. Improving your insulin injection technique the way that you insert your syringe or pen needle into your skin in order to get a proper dosage of insulin is called your insulin injection technique. Lantus insulin glargine injection for subcutaneous. A randomized controlled trial to assess the impact of. Pens may cost more, so be sure to discuss this with your health care team. Remove pen cap for cloudy insulins roll pen 10 times between the palms 5 6 screw on needle pull off protective caps to ensure needle and pen are working correctly select 2 units on dose knob hold pen with needle pointing upwards fully depress dose knob looking for insulin to appear from needle tip if not seen, repeat steps until insulin seen at. Instructions for use insulinlisproinjection kwikpen. The dial will automatically go back to zero after you perform the test. Push the needle straight through the center of the rubber top of the insulin bottle and push the plunger down completely.
A disposable pen needle is attached to the end of the pen prior to injecting. Some people find that a pen is easier to use than a syringe. The aim of this study was to elucidate injection techniques, treatment. Reusable insulin pens you keep the outside pen part but replace the inside cartridge that contains the insulin. A randomized controlled trial to assess the impact of proper. Toujeo contains 300 unitsml insulin glargine do not reuse needles. Insulin administration using an insulin penprocedure. Introductionit is increasingly recognized that injection technique has a significant effect on the performance of the agent injected, as well as on overall diabetes management. However, some studies show that nurses knowledge and practice relating to insulin therapy is insufficient1. Produced by the uclh children and young peoples diabetes service. Store unopened insulin and glp1 ra in the fridge, as per manufacturers instructions at 48 degrees. Insulin can be given using a syringe or a pen device.
Counseling patients on the use of insulin pen devices. The inclusion criteria of research subjects included patients diagnosed with type1 or type2 dm and using insulin pen injection. Diabetes experts recommend that the shortest pen and insulin syringe needles are safe, effective and less painful. They contain insulin instead of ink and have a dial for setting the dose. Evidencebased clinical guidelines for injection of insulin. They can also make insulin delivery easier for anyone with arthritis or other dexterity issues. Pdf the 20082009 insulin injection technique questionnaire. If you are using a cloudy insulin, gently roll the pen between your hands to mix the insulin.
How to use your lantus solostar pen long acting insulin. Evidencebased clinical guidelines for injection of. The questionnaire included demographic data including age, gender, nationality, educational level, and chronic disease as well as specific questions about insulin injection technique. This study aims to evaluate insulin injection technique in brazilian patients and compare results with latin america latam and world. Injection technique for different needle lengths use the correct technique to better manage your diabetes1.
Storing your flexpen keep all new, unused insulin pens in the refrigerator. It is important to make sure if the healthcare professionals possess the current and proper knowledge about the technique of injection. Use alcohol to clean the end of the pen where the needle twists on. Guidelines for insulin injection technique has been issued by perkumpulan. When using a pen or vial for the first time, take it out of the fridge a half hour early so that it has time to warm up to room temperature.
Your healthcare professional can help you to learn an injection technique that will make your insulin therapy as effective and successful as possible. Pdf improved insulin injection technique, treatment satisfaction. Tap the cartridge holder gently to collect air bubbles at the top. Insulin injection technique depth ofinjection is important. To remove the pen needle, patients should place the outer needle cap onto the pen needle, use it to unscrew the needle from the pen, and then replace the. Inuse pen store the pen you are currently using at room temperature up to 86f 30c. However it may in certain cases be just as important to diabetes management as the type of insulin or dosage used. Principles of subcutaneous injection technique for insulin and glp1 mimetics. Always change your pen needle between injections rotate injections within that region insulin injection tips if your treatment plan includes injection therapy, it is especially important to follow a healthy injection routine, including proper site selection, rotation and injection technique.
Stay 2 inches away from the belly button navel and any scars. You may give other people a serious infection, or get a serious. Giving yourself an insulin injection with the flexpen. Expert recommendations on injecting insulin with pen and. If altered in appearance, discard and use a new vial or pen with. The lantus solostar pen was designed with a simpletopush injection button and a large dosing window. Best practice guideline to support correct injection. The introduction of shorter needles 4 mm for pen and 6 mm for insulin syringe has led to the recommendation that. Subcutaneous injection technique for insulin and glucagonlike peptide 1, from which this document is based was developed in 2011 by the adea clinical practice committee. As with learning anything new, the keys to insulin injection success are training and practice. Insulin apidra dose delivery 1unit increments, up to 80 units at a time total capacity 300 units details pen is blue. If youre using a prefilled insulin pen you can skip. Fit forum for injection technique canada the forum for injection. If you do notprime before each injection, you may get too much or too little insulin.
This device can be used with becton dickinson and companys insulin pen needles. Injection technique injection sites insulin is injected under the skin in the subcutaneous tissue. In adults who use 8 mm pen needle and or inject at 45 angle in order to avoid injecting into muscle5. Dec 01, 2014 most physician visits with insulin injecting patients involve discussions about glucose control and dose adjustments, but very little time is spent on improving injection technique it. Insulin pens are the primary injecting device used by people with diabetes in. If the rod is sticking out, push it all the way back in. The pen should be rolled ten times, tipped ten times, and checked for a milkywhite consistency. New insulin delivery recommendations sciencedirect.
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