Gentle and safe injections. Tips and tricks for injecting insulin.
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1 Gentle and safe injections. Tips and tricks for injecting insulin. More freedom. More confidence. With mylife.
2 Gentle and safe injections The correct injection technique The insulin is injected into the subcutaneous fatty tissue Skin Subcutaneous fatty tissue Muscle 2 3 To achieve a good insulin dose effect it is essential to inject the insulin into the subcutaneous fatty tissue (subcutaneous injection) and not into the muscle. If insulin is injected into the muscle, this can lead to severe hypoglycaemia Inject insulin into the subcutaneous Do not inject insulin into muscle fatty tissue
3 Correct needle lengths Crucial for correct injection mylife Penfine Classic 4 mm mylife Penfine Classic 6 mm mylife Penfine Classic 8 mm Injections with ultra short pen needles (4 mm and 6 mm) provide reliable insulin delivery into the subcutaneous fatty tissue (subcutaneous injection). The correct needle length is crucial and is determined in consultation with your physician at the start of pen therapy. The choice of injection technique together with the right needle length can avoid injection into the muscle. As a rule, the following needle lengths are recommended: Children and adolescents 4 mm or 6 mm needle length Adults 4 mm, 6 mm or 8 mm needle length In general, therapy tends to be started with the shorter pen needles.
4 Suitable injection sites Insulin is not absorbed at the same speed at all sites Abdomen and thighs are the most common injection sites. Injection sites on the abdomen allow rapid insulin absorption. Injection sites on the thighs and buttocks allow slow insulin absorption. The effect of analog insulins is less dependent on the injection site. Follow the recommendations given by your healthcare professional. Upper arms as injection sites: injections into the upper arms should only be performed after training with the diabetes advisor. The reason being, there is a higher risk of injecting into muscle as the subcutaneous fatty tissue is very thin and the injection sites are not easily accessible. Rotation principle for injection sites Avoiding lipohypertrophy Change the injection site after every injection (rotation principle). The injection sites should be at least 3 cm away from the navel and apart from each other to avoid frequent injections into so-called favourite sites and thus leading to tissue hardening (lipohypertrohy).
5 sunday saturday monday friday tuesday Examples for the rotation principle: thursday wednesday sunday saturday monday friday tuesday thursday wednesday monday tuesday wednesday thursday friday saturday sunday morning midday evening morning evening monday tuesday wednesday thursday friday saturday sunday
6 The correct injection technique For different needle lengths For 4 mm needle length Hold the needle vertically at an angle of 90 degrees, without creating skin fold (for some children, very slim adults and when injecting into the thigh, forming of a skin fold may prove necessary). For 6 mm and 8 mm needle length Injection at an angle of 90 degrees with a skin fold or 45 degrees without a skin fold. Correct forming of a skin fold Create the skin fold using thumb and index finger (possibly also using middle finger). Keep skin fold loose and relaxed. Do not press together hard, resulting in pain or turning the skin white. If all fingers are used, there is a risk of also including the muscle. This can lead to an undesired intramuscular injection Skin Subcutaneous fatty tissue Muscle
7 Injection procedure Step by step 1 Remove the protective foil. 7 Slowly inject the insulin according to the instructions of your physician or diabetes advisor: to do this, press dosage button. 2 mylife Penfine Classic Screw needle onto pen with outer needle protective cap until it engages. 8 10s Allow the needle to remain in the fatty tissue for 10 seconds. 3 Important Do not screw the needle at an angle. 9 Carefully secure needle with the outer protective cap (only for self-injection). 4 Remove the outer protective cap of the needle in upward direction and save the cap. 10 Unscrew needle. Remove the inner protective cap. Safely dispose of the used needle Set the correct dose. Place pen needle on suitable injection site. 6
8 Made for life.
9 Single use pen needles Risks of multiple use Multiple use of the pen needle can lead to the following risks: The needle is already somewhat blunted after single use, the lubricant film can show signs of wear and the tip of the needle can be deformed: Injections become more painful. This can lead to small injuries or bruising. The pen needle is no longer sterile after initial use: Re-use is not hygienic. Increased risk of infections. Insulin can crystallise in the pen needle: The pen needle may become clogged and a safe insulin injection is therefore no longer guaranteed. This can lead to dosage errors and unexpectedly high blood glucose levels. Presence or increase in size of air bubbles in the cartridge: Insulin may drip out of pen needle (during storage). Insulin dose becomes inaccurate. New pen needle Needle after multiple use Needle after multiple use with tissue residue attached in part
10 Tissue hardening (lipohypertrophy) Consequences of multiple use of pen needles What is lipohypertrophy? This means changes, hardening of the subcutaneous fatty tissue. What causes lipohypertrophy? The re-use of damaged pen needles can lead to skin and tissue injuries. This, together with frequent injections in so-called favourite sites, can lead to lipohypertrophy. What are the consequences of lipohypertrophy? Injections into hardened tissue affect insulin absorption making the insulin dose effectiveness difficult to calculate. This can lead to unexplainable blood glucose fluctuations. Examples of lipohypertrophy How can lipohypertrophy be avoided? Change the injection site after every injection. Use pen needles only once. Recommendation: check injection sites regularly and consult your physician or diabetes advisor in case of conspicuous events. Lipohypertrophy can often be felt better than seen! Avoid injecting through clothing Not recommended Injecting insulin through clothing is not recommended for the following reasons: There is a risk of injecting insulin into the wrong tissue as the usual length of the needle may prove inadequate depending on the thickness of the clothing. When injecting through clothing, both the sensitive needle tip as well as the surface coating of the needle may get damaged. There is also a risk that the cannula might become clogged with cloth fibers. Forming a skin fold is difficult through clothing.
11 Tips and tricks Avoiding difficulties during injection Problem Possible causes Recommendation: Painful injection Multiple use of pen needles Change the pen needle after each injection Insulin flows back from injection channel Lacking efficacy of insulin The dosage button of the pen cannot be pressed Pen needle removed too fast (incomplete insulin delivery) Injection too fast, insulin was unable to distribute Unsuitable injection site: tissue hardening (lipohypertrophy), scar tissue, hardening of skin Pen needle removed too fast after injection Poor mixing of insulin in cartridge (only in case of cloudy insulins) Pen needle is clogged Rubber membrane of the cartridge was not pierced Pen needle to loose Pen needle is clogged Inject slowly and do not remove the pen needle immediately (leave needle in subcutaneous fatty tissue for 10 seconds) Avoid unsuitable sites Inject slowly and do not remove the pen needle immediately (leave needle in subcutaneous fatty tissue for 10 seconds) Gently shake the pen several times before every injection Use a new pen needle and use every pen needle only once Use a new pen needle. Change the pen needle after each injection Ensure that the pen needle is securely fixed Use a new pen needle and use every pen needle only once
12 More freedom. More confidence. With mylife. Blood glucose monitoring systems Pen needles and safety pen needles Infusion systems Accessories and services mylife is a range of products and services for people with diabetes. It offers them everything they need for easy and reliable self-treatment, giving them more freedom and more confidence for the life they want to lead / UK-IN-en/V01 United Kingdom Ypsomed Ltd. // 1 Park Court // Riccall Road // Escrick // YO19 6ED // info@ypsomed.co.uk // // Customer Care: (Calls to this number are free of charge from mobile phones and landlines, plus your phone company s access charge.) India Ypsomed India Private Ltd. // 10/61/1-F, Kirti Nagar Industrial Area // New Delhi // info@ypsomed.co.in // // Customer Care:
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