In order to be confident in the effectiveness of insulin, it is necessary not only to calculate correctly the dose, but also strictly abide by all the “process”. Otherwise, it may be a change in unpredictable blood glucose levels and, consequently, increases the risk of acute complications.
When deciding whether to change the dose of insulin due to insufficient action of the drug should be necessarily ruled out the error in the technique of insulin administration. Manipulation of the bottle must be carried out in good visibility, if necessary, to use glasses.
Storage of insulin.
Keeping the vial and cartridge initiated pen – at room temperature 20-22 ° C to 28 days.
Storage is not started by the bottle – in a refrigerator at 2-8 ° C. Freezing vial – you can not use it!
If you need to carry insulin in hot weather, it must be stored in a thermos or a “bag-a thermos.”
It is unacceptable to use the drug with an expired shelf life and if there was a violation of rules of storage.
The rules before injection.
The appearance of the liquid should not be changed after previous use.
Temperature prior to administration of insulin should be 20-22 ° C.
It’s important to mix the insulin.
You can not mix incompatible insulin in one syringe.
At a set of insulin in the syringe should not contain air.
An injection.
Subject to the rules of personal hygiene disinfection of the skin with alcohol is not necessary.
If disinfecting with alcohol yet been carried out, not to inject immediately, but must wait to alcohol has evaporated (10-15).
Need to use syringes with graduations corresponding to the number of units of insulin in 1 ml of 40 IU and 100 IU.
During the injection of the skin get into the crease and did not let go until the end of injection, and after the injection, without removing the syringe, wait 10 seconds.
Control the depth of the needle – it should be introduced subcutaneously.
After the injection not massage the injection site.
Selecting the location for the injection.
Zones of insulin include: stomach – anywhere retreated 5 cm from the navel, thigh (antero-external surface of 4 fingers below the start of the thigh and the 4 fingers above the knee), shoulder (outside surface), upper part of the buttocks.
Each zone of introduction has its own rate suction:
Area of the slow absorption – the hip;
Slow absorption – the buttocks;
Average rate of absorption – the shoulder area;
Most rapid absorption – the abdomen.
Depending on the duration of insulin action, recommend short-acting injections in the abdomen, the average length – in the thigh or buttocks.
In order to avoid complications in the skin, it is recommended to adhere to an orderly change of the injection site. There are two options: change the order of all the zones on a daily basis on a “single injection – a zone,” or do all the injections in one zone and change zones to produce a weekly basis.
It is better to use the first option, entering as a function of different types of insulin area.
Between the two places consecutive injections should be a distance not less than 2 cm.
Factors that accelerate the absorption of insulin:
Physical activity after injection;
Elevated body temperature or the environment (sauna, hot-water bottle applied to the injection of insulin).
Intramuscular injection.
Massage the injection site.
Factors that slow the absorption of insulin:
Violation the rules of storage.
Deterioration of the capillary circulation (shock, coma, hypothermia of the body).
Cold insulin (temperature below 20 ° C).
Intradermal introduction of the drug into the affected subcutaneous layer, sealing after previous injections.
Introduction immediately after rubbing alcohol.
Quickly taking out the needle from the skin immediately after injection leads to leakage of the solution and, consequently, to a lack of action of the drug.
See Also
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