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Home Treatment:
Insulin
Injection
Insulin injection is
essential in the daily regime for many diabetics. It helps
to control high blood sugar and hence prevents complications
such as heart
disease, stroke, kidney disease, and
blindness. There are many types of insulin available and
they are differ by how fast they start to work and how long
their effects last. Your doctor will help decide which
insulin is right for the person.
Safety Rules for Insulin User
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To
ensure that the person receives insulin from the same
source and of the same type and concentration, always buy
insulin from the same
pharmacy.
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Check
the expiration date on the package and look for changes in
appearance. Discard insulin that is discolored or contains
solid particles. Injecting insulin that is expired or contaminated with
bacteria can lead to high blood sugar or cause infection at
the injection site.
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Always keep a spare bottle of insulin on hand.
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Store
insulin in the refrigerator until it is opened. After a
bottle has been opened, it may be kept at room temperature
for one month. Discard the
insulin after the expiration date or after being kept at
room temperature for a month.
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Never
freeze insulin or expose it to extremely hot temperatures or
direct sunlight.
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Insulin syringes
come in different sizes. Use the correct size syringe
to make sure you get the right dose of insulin.
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Do
not keep injecting at the same site. Rotate the site of
injections can prevent or reduce indentations, hard lumps or
thickened skin in areas
where insulin is injected.
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Make
sure meal is taken at prescribe time after insulin injection
to prevent hypoglycemia (low blood sugar).
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Always inform your healthcare professionals that the
person
is taking insulin. Never assume that they are familiar with
the person's medical
history.
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If
you are giving the person any medication other than his
insulin, including over-the-counter products, find out if
they are suitable for people with
diabetes. Consult your doctor before administering.
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Giving Insulin Injection
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Wash
your hands with soap and water.
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Divert the person's attention from the injection through
conversation.
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Roll
the insulin bottle between your hands for about one minute
to resuspend the insulin preparation and also to warm the
medication. Cold
insulin can cause discomfort when injected. Do not shake the
insulin bottle because shaking causes foaming and bubbles to
form which may
trap particles of insulin and alter the dosage.
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If
you use alcohol swab to clean the injection site, allow it
to dry thoroughly before injecting insulin. This is because
when alcohol gets into the underlying tissue, it may cause
redness and some slight swelling at the injection site.
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Insulin may be injected into any area of your body where a
layer of fatty tissue is present and where large blood
vessels, nerves, muscles and
bones are not too close to the surface. Insulin is best
injected into the abdomen because of quick and consistent
absorption. However, avoid the
2-inch circle around the navel, which does not absorb as
well. Also avoid injecting in hard lumps, indentations or
thickened skin because insulin
will not be well absorbed in these areas.
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Cleanse the stopper of the insulin bottle with alcohol swab.
Inject air, equal to the dose of insulin to be withdrawn,
into the vial of insulin. Turn the vial upside-down and pull
the plunger towards you just beyond the required units. Tap
the plunger to allow air bubbles to escape then push the
plunger to the required insulin dose. Pull bottle away from
the syringe. Do not touch the needle tip.
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Pinch
the skin area firmly with the other hand to elevate the
subcutaneous tissue. This will also helps to tighten the
skin which make needle penetration easier. Insert the needle
smoothly and quickly to minimise tissue pulling which causes
discomfort. Do not change the direction of the needle
during the injections. Hold the syringe steady while the
needle remains in tissues. Release the skin and
inject the insulin by pushing the plunger all the way in. Remove the syringe and press injected site with a cotton
wool. Do not rub.
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Record the dose given in your notebook.
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