Insulin Injection Site Rotation - 5 Tips for Insulin Injection Site 胰岛素注射部位轮换-胰岛素注射部位的5个技巧

Insulin Injection Site Rotation - 5 Tips for Insulin Injection Site 胰岛素注射部位轮换-胰岛素注射部位的5个技巧 My desk is NOT an Inbox. Please do not place anything on my desk. Thank you. Leti C:\convert\temp\737915593.doc 1 C:\convert\temp\737915593.doc 2 Insulin Injection Site Rotation - 5 Tips for Insulin Injection Site Rotation The Best Way to Inject Insulin By Gary Gilles, About.com Guide Updated January 08, 2010 Photodisc/Getty Images Multiple insulin injections each day are a way of life for those with type 1 diabetes. But did you know that where you inject the insulin makes a big difference in the absorption level and effectiveness of the insulin? Here are 5 tips that will help ensure that your injections are working hard for you. 1. Give injections in the abdomen, thighs and back of the upper arm whenever possible. Insulin is most rapidly absorbed when injected in the abdomen, followed by the upper arm and thigh area. Injections in your hip and buttock areas are more slowly absorbed. Never inject within two C:\convert\temp\737915593.doc 3 inches of your navel. 2. Choose a slightly new location for each injection. This is called site rotation. For example, if you give all of your injections in the abdomen, note of where your last injection was given and move the next one about an inch to one side or the other. Continue to move the injection site until you’ve covered all the available sites before starting a new area. 3. Always inject insulin into fatty tissue instead of muscle. That’s why the abdomen, upper back of the arms and outer thigh are preferred. These areas are easy to reach and have ample amounts of have fatty tissue (called subcutaneous fat). These areas also reduce the risk of injecting insulin too close to a large blood vessel or nerve. 4. Give your injections in the same general area at the same time each day. For example, take your morning insulin in your abdomen and your afternoon or evening insulin in your arm. This consistency helps your body better absorb the insulin over random injections. 5. Keep accurate records of your site rotation. This will help you avoid injecting the same area repeatedly. Doing so is likely to result in the development fat deposits that can make your skin look lumpy and delay the absorption of insulin. The Cleveland Clinic offers a helpful site rotation map for each area of the body that you can print and use to check off where you last injected. C:\convert\temp\737915593.doc 4 C:\convert\temp\737915593.doc 5 Storing Insulin - The Best Way to Store Insulin Keeping Your Insulin Potent By Gary Gilles, About.com Guide Updated August 05, 2009 About.com Health's Disease and Condition content is reviewed by the Medical Review Board Photodisc/Getty Images The best way to store insulin depends on when you intend to use it. The insulin you are currently using on a daily basis should be kept at room temperature. Not only is room temperature insulin more comfortable to inject, but it remains stable and potent for at least 28 days unless it is exposed to temperatures that exceed 86 F or go below 36 F. If you anticipate room temperatures to be outside that range, it’s best to keep the insulin in the refrigerator. Insulin intended for future use should be kept in a refrigerator at a temperature between 36 to 46 F. This includes any unused prefilled pens and insulin cartridges. Any colder and the insulin will freeze and become unusable. More tips on insulin storage: , Write the start date of your insulin on the label along with the end date (28 days later) when the insulin should be discarded. Insulin manufacturers do not recommend extending the supply beyond this point. C:\convert\temp\737915593.doc 6 , Always have an additional supply of insulin on hand in the refrigerator in case your current supply loses potency, is damaged or lost. , Check the insulin package insert or talk with your pharmacist about specific storage information that may pertain to the type of insulin you are using. Do Different Injection Areas Absorb Insulin Differently? From Debra Manzella, R.N., former About.com Guide Updated October 26, 2007 Question: Do Different Injection Areas Absorb Insulin Differently? Answer: Yes. Some areas of the body are better than others at absorbing insulin. It depends on the consistency of fatty tissue in the area that you are injecting. The abdomen has the best absorption. Many people use the abdomen for long-acting insulins and other areas, like the thighs, for short-acting or before-meal injections. The back of the arm does absorb insulin well, but it's hard to maneuver the syringe to the correct spot (the fatty part at the back of the arm). It's also tough to inject in an area that you cannot see well. Plus, people tend to use the muscles of their arms more, and a lot of muscle motion can make insulin absorb too quickly. When giving yourself an injection, the best way to make sure you're injecting into the fatty tissue is to firmly grasp the skin and tissue in the area with one hand, pinching it so that it is raised slightly, and inject the insulin into that area. Do not rub the area after the injection. Rubbing can also damage tissue. Where Should I Inject My Insulin? From Debra Manzella, R.N., former About.com Guide C:\convert\temp\737915593.doc 7 Updated October 09, 2007 Question: Where Should I Inject My Insulin? Answer: The abdomen, backs of the arm, thighs, hips and buttocks are all typical places that insulin may be injected. Though these areas can absorb insulin differently, ease of injection has a lot to do with how successful your blood sugar maintenance will be. The abdomen is the easiest place to reach on your body, and you can also see what you're doing more easily. Try to not to inject within 2" of your navel in all directions. The thigh is the next in line in terms of easiest places to inject insulin. The back of the arms, hips or buttocks are more difficult to see and reach, and choosing them may make it more challenging to inject properly. What is a Good Pattern for Insulin Injection Rotation? From Debra Manzella, R.N., former About.com Guide Updated October 09, 2007 About.com Health's Disease and Condition content is reviewed by our Medical Review Board Question: What is a Good Pattern for Insulin Injection Rotation? Answer: Rotation methods vary. Some people go in a clockwise rotation, with every injection 1 inch away from the injection site before. Some people go side to side in an area, keeping a 1 inch distance between injections, until all available sites have been used in that area. Rotate sites within a particular area, such as the left side of the C:\convert\temp\737915593.doc 8 abdomen or the left front of the thigh, injecting 1 inch from the previous spot each time. For example, start with the left thigh until all injection spots in that area have been used. Then, switch to the right thigh. By the time you get back to the left thigh again, the tissue should be healed and ready to accept insulin again. The same method can apply to the abdomen. Start on the left side. Move over 1 inch, in a clockwise or side to side progression, for every subsequent injection until all areas of that side have been used. Try not to randomly inject, but to keep track in an orderly way so that all available areas are eventually used and no area is used twice. When all available sites have been used on the left side, switch to the right and proceed the same way. Never inject within 2 inches of the belly button.. Multiple insulin injections each day are a way of life for those with type 1 diabetes. And where you inject the insulin makes a big difference in the absorption level and effectiveness of the insulin. It's easy to keep injecting in your "favorite spot," as this is usually where you find it least painful. However, this can lead to problems, which is why insulin site rotation is a good principle to follow. What methods do you use to rotate sites and keep track of your previous injections? Share Your Experience Rotating site methods I use I prefer to inject into my thighs. So rotation is fairly easy for me. One day Iinject in my right leg, the next day my left moving up and down in different areas of the fatty part of the thigh. I Inject at least once every day sometimes more. I really like using the upper thigh and sides of my thigh for my daily injections. Its fairly easy to remember what area was used the day before and that makes rotation easy for me.I like to start at the top of the thigh and work my way down rotating thighs daily. This method has proven to be very effective for me . See More About: , diabetes management C:\convert\temp\737915593.doc 9 , treatments for diabetes , medication safety , insulin About.com Health's Disease and Condition content is reviewed by our Medical Review Board Sponsored Links Living with DiabetesIf you’re treating type 2 diabetes, find more resources & support here.www.TakingAction.com Tubeless Insulin PumpMake Insulin Pump Therapy Easier Get your OmniPod Demo Kit Today!www.MyOmniPod.com Diabetes Type 2 TreatmentType 2 Diabetes Info & Treatment. Learn how to Treat your Diabetes.www.SanMiguelClinicalResearch.com See More About: , insulin therapy , storing insulin , insulin pumps , glucose management , glucose meter , Diabetes Diet , Symptoms of Diabetes , Type 2 Diabetes , Diabetes Treatment , Diabetes Cure C:\convert\temp\737915593.doc 10