Mastering Insulin Injections: A Comprehensive Guide
Table of Contents
- Introduction
- The Diabetes Nurse Service
- The Multi-Disciplinary Team
- Insulin and Injection Technique
- Storing Insulin
- Basal Bolus Insulin Regime
- Different Types of Insulin
- Preparing and Combining Insulin
- Injection Sites and Rotation
- Carrying out an Injection
- Tips for Self-Injecting
- Conclusion
Introduction
📌 Understanding how to manage diabetes is essential for maintaining optimal health. In this article, we will delve into various aspects of diabetes management, specifically focusing on insulin therapy and injection techniques. Whether you are new to insulin or looking to refine your injection method, this comprehensive guide will provide valuable insights and guidance. Together, we can empower you to take control of your diabetes and lead a fulfilling life.
1. The Diabetes Nurse Service
📌 At the Queen Elizabeth University Hospital in Glasgow, we are proud to offer the Diabetes Nurse Service. Led by Victoria, our team of highly skilled diabetes specialist nurses is dedicated to providing exceptional care during your hospital stay. We work closely with a multi-disciplinary team to ensure you receive comprehensive support and guidance.
2. The Multi-Disciplinary Team
📌 As an inpatient, you may come across various members of the multi-disciplinary team. This team includes consultants, registrars, and other healthcare professionals. Rest assured that each member possesses advanced expertise in their respective fields. Due to the global pandemic, face-to-face consultations may not always be possible. In such circumstances, we have prepared informative videos to aid your diabetes management. Feel free to watch these videos at your convenience and share them with your support system.
3. Insulin and Injection Technique
📌 Insulin therapy plays a crucial role in managing blood glucose levels for individuals with diabetes. Since insulin can only be administered via injection, it is vital to master the correct injection technique. Depending on your unique glucose levels, the diabetes multidisciplinary team may determine that you require insulin for either a short period or long-term therapy. Your insulin pattern will be explained to you and documented in your discharge letter.
4. Storing Insulin
📌 Insulin must be stored in a refrigerator between two to eight degrees Celsius. Once you return home from the hospital, make sure to store your insulin in the fridge. Insulin is typically provided in pre-filled pens, each containing 300 units of insulin. These pens are reusable but should be removed from the fridge 15 minutes before usage. After taking the pen out of the fridge, store it at room temperature for up to one month. Remember, insulin should not be exposed to direct sunlight or kept near heat sources.
5. Basal Bolus Insulin Regime
📌 If you are on a basal bolus insulin regime, you will have two different insulin pens. One will contain long-acting insulin, while the other will contain rapid-acting insulin. Both insulins should appear clear like water. It is crucial to read and understand the leaflets provided for the specific insulin you have been prescribed. Your discharge letter will outline the appropriate dosage and timing for insulin administration.
6. Different Types of Insulin
📌 Insulin comes in various types, each serving a specific purpose in managing blood glucose levels. It is vital to familiarize yourself with the different insulins you may be prescribed. If the insulin you are taking is called Humelin M3 or has "mix" in its name, it contains both short and longer-acting insulin. For mix insulins, you need to combine the two insulins before use. Ensure proper mixing by rolling the pen back and forth in your hand ten times, followed by side-to-side motion. This guarantees the correct ratio of combined insulin.
7. Preparing and Combining Insulin
📌 Before administering insulin, it is essential to prepare and combine the components correctly. Start by removing the pen's lid, revealing the insulin cartridge. At the opposite end of the pen, you will find the dial and plunger. Attach the needle to the pen by removing the paper from the needle case and securely screwing it in place. Once the needle is attached, remove the large plastic outer cover and the small plastic inner cover. To ensure the connection between the needle and insulin pen, perform a test shot by dialing up two to four units of insulin. If you see a small amount of liquid coming from the needle, you can proceed.
8. Injection Sites and Rotation
📌 Insulin injections are typically administered subcutaneously, meaning the liquid is injected into the fat layer just beneath the skin. It is advisable to rotate your injection sites to prevent lipo hypertrophy and ensure proper insulin absorption. Suitable injection sites include the abdominal area (tummy), the tops of the buttocks, the thighs, and the upper back section of the arms. Remember, you do not need to pinch the skin for injection - simply secure the surrounding skin and gently insert the needle at a 90-degree angle.
9. Carrying out an Injection
📌 Administering an insulin injection may seem daunting initially, but with practice, it will become routine. After selecting the injection site, insert the needle into your skin at a 90-degree angle. Push the plunger down to zero, remove your thumb or finger from the plunger, and count to ten while remaining still and calm. It is essential not to move your hand or panic during the injection. Once you have completed the count, remove the needle from your skin. Remember, the needles are single-use only, and proper disposal is necessary.
10. Tips for Self-Injecting
📌 When you begin self-injecting, you may experience slight bruising or bleeding at the injection site. This is normal and will diminish as you refine your technique. If you require additional support or encounter any difficulties, your diabetes healthcare professional is available to assist you. Never hesitate to reach out for guidance and advice.
Conclusion
📌 Managing diabetes through insulin therapy is a crucial aspect of maintaining optimal health. By adhering to proper injection techniques and adopting a well-rounded diabetes management plan, you can take control of your health and lead a fulfilling life. Remember, the Diabetes Nurse Service at the Queen Elizabeth University Hospital is here to support you every step of the way. Embrace the knowledge and tools provided, and empower yourself to live a thriving life with diabetes.
Highlights:
- Understanding insulin therapy and injection techniques for diabetes management
- The Diabetes Nurse Service at Queen Elizabeth University Hospital in Glasgow
- Collaboration with the multi-disciplinary team for comprehensive care
- Importance of storing insulin correctly and understanding different types
- Basal bolus insulin regime and insulin combination techniques
- Guided demonstration of proper injection technique and tips for self-injecting
FAQ
Q: Can insulin be stored outside the refrigerator?
A: No, insulin should be stored in a refrigerator between two to eight degrees Celsius to maintain its effectiveness.
Q: Are there different types of insulin?
A: Yes, there are various types of insulin, including long-acting, rapid-acting, and mixed insulins. Each serves a specific purpose in managing blood glucose levels.
Q: How should I dispose of used needles?
A: Used needles should be disposed of in a puncture-resistant container such as a sharps bin. Do not throw them in regular trash bins.
Q: Can I administer insulin injections in my arm?
A: Yes, you can inject insulin in the upper back section of your arms. However, be sure to rotate injection sites to prevent tissue damage.
Q: What should I do if I experience bruising or bleeding during injection?
A: It is normal to experience slight bruising or bleeding during injection. Over time, this will decrease as you refine your technique. If you have concerns, consult your diabetes healthcare professional for guidance.
Q: Can I reuse insulin pens?
A: Yes, insulin pens are reusable. However, be sure to follow proper storage and handling guidelines to maintain their effectiveness.
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