Injection. Photo of a typical juvenile diabetic before and after treatment.

Injection

Photo of a typical juvenile diabetic before and after treatment

• Injection sites include the abdomen, outer upper arms, the thighs, buttocks, or hip areas.

• Do not inject insulin near bony places or joints

• Insulin absorption can vary from site to site. The best absorption site is the abdomen

Injection Sites

Preparing for Injection

Steps for preparing your syringe differ, depending on whether you use one type of insulin or a mixture of two or more insulin

• Wash your hands.

• Turn the insulin bottle on its side and roll it between your palms to mix it, but DO NOT SHAKE IT.

• Wipe the top of the insulin bottle with an alcohol wipe.

4. Pull plunger to draw in enough air to equal your insulin dose: _____ units.

5. Push the needle through the bottle top and inject air

into the bottle.

6. With the needle in the bottle, turn it upside and pull the plunger to fill the syringe past your do of

insulin.

7. Push slowly to the line of your correct dose of

insulin: _____units.

8. Check for air bubbles. If bubbles are present, tap the syringe to make them rise. Then repeat steps 6

and 7 and check for bubbles again.

Continue repeating steps 6 and 7 until no air bubbles are present.

9. Remove the needle from the bottle, and

carefully rest the syringe so that the

needle touches nothing.

GIVING THE INJECTION

1. Choose your injection site.

2. Wipe the area with alcohol to clean it.

3. Grasp a large pinch of skin between your thumb and fingers.

4. Push the needle straight into the skin.

5. Press the plunger in.

6. Holding the alcohol wipe next to the injection, pull out the needle. Wipe the area with the alcohol wipe.

Insulin Delivery DevicesInsulin Delivery Devices

Modern ways of taking insulinModern ways of taking insulin

Disposable Insulin PenDisposable Insulin Pen

Just dial the dose

Insert the needle

Inject the dose

• Easy to useEasy to use

• AccurateAccurate

• Virtually Virtually PainlessPainless

In a recent study 70 % of the people were willing to recommend NovoLet to others

Easy 3 step action

Permanent Insulin Pen

The only pen system that offers:

• Metallic body which is elegant and long lasting

• 70 units dialing with easy dose correction

• NovoFine 31 G needle that offers virtually painless insulin

injection

• Automatic “0” setting that signals end of dose

• Holds NovoFine needle over penfills and thus ensures longer

use of the pen

• Trusted choice of over a million diabetics across the world

How do I Store My Insulin?

Insulin

Do not expose the insulin to sunlight & high temperatures which can occur in :

a) In the glove compartment of

a car

b) Near a cooking range

c) On top of electrical

equipment

Store in refrigerator at the recommended temperature of 20-80 C

Do not keep insulin in freezer compartment & do not use insulin that is frozen

X

Insulin suspensions not to be used due to clump formation

Do not use the insulin after expiry period

Insulin – Myths & RealityInsulin – Myths & Reality

• Insulin injections are painful?• But I cannot take insulin injections myself?• I do not need insulin as I have only

mild diabetes !• What is the role of natural, herbal and

ayurvedic medicines?• Once on insulin, will I always be on insulin?• What about hypoglycemia, will I get?• Any side effects?

Still afraid of injectionStill afraid of injectionThe proof is in using it ! The proof is in using it !

Give it a try for six months Give it a try for six months You will find the difference.You will find the difference.

Today newer insulin available

1970’s

Purified insulins

1980’s

Human insulin

1990’s, Devices

2000, Analogues

Today newer insulin available

• Called insulin analogues• Better than human insulin

– Convenient, no waiting time before meal– Most advanced device– Safe– Easy for doctors to adjust dose

insulin inhaler

Future