![]() Thunderbird Road, Suite 1, Phoenix, AZ 85306. Received: OctoAccepted: DecemCorrespondence: Richard Dolinar, MD, Arizona Endocrinology Center, 5130 W. Keywords Diabetes, insulin, injection technique, insulin pens, insulin syringes, insulin needle re-use, patient education Disclosure: Richard Dolinar, MD, is a member of the speakers’ bureaus of Amylin, Eli Lilly, and Takeda and a consultant for BD Medical and Pfizer. Instead, marked glycemic excursions could occur, leaving the goal of good diabetes control unachievable and the medical staff baffled. Without it, however, the appropriate type of insulin at the correct dose might not necessarily give the intended outcome. However, how much emphasis is placed on the practical aspects of insulin use? Is the patient using proper injection techniques? Are the insulin syringes or pens being cared for correctly? Are needles being quietly re-used without the medical staff’s knowledge? Are sharps being disposed of safely? Diabetes education regarding the proper use of insulin takes much time and effort. In such settings, focus is often placed on the type of insulin the patient is taking, with an even greater emphasis placed on the amount. The Importance Of Good Insulin Injection Practices In Diabetes ManagementĪbstract: Abstract Time constraints are often significant when treating patients with diabetes with insulin. Rapid-acting insulin analogs (insulin lispro and insulin a Insulin is available in rapid-, short-, intermediate-, and long-acting types that may be injected separately or mixed in the same syringe. Insulin analogs have been developed by modifying the amino acid sequence of the insulin molecule. (See the American Diabetes Association’s position statement “Continuous Subcutaneous Insulin Infusion” for further discussion on this subject.) INSULIN Insulin is obtained from pork pancreas or is made chemically identical to human insulin by recombinant DNA technology or chemical modification of pork insulin. It does not address the use of insulin pumps. This position statement addresses issues regarding the use of conventional insulin administration (i.e., via syringe or pen with needle and cartridge) in the self-care of the individual with diabetes. ![]() In all instances of insulin use, the insulin dosage must be individualized and balanced with medical nutrition therapy and exercise. An insulin regimen is often required in the treatment of gestational diabetes and diabetes associated with certain conditions or syndromes (e.g., pancreatic diseases, drug- or chemical-induced diabetes, endocrinopathies, insulin-receptor disorders, certain genetic syndromes). However, over time, many of these individuals will show decreased insulin production, therefore requiring supplemental insulin for adequate blood glucose control, especially during times of stress or illness. In contrast, individuals with type 2 diabetes are not dependent on exogenous insulin for survival. People with type 1 diabetes mellitus do not produce enough of this hormone to sustain life and therefore depend on exogenous insulin for survival. Insulin is necessary for normal carbohydrate, protein, and fat metabolism.
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