Sites of insulin injection

The sites where the injections can be given are shown in Fig 8. These include the abdomen, outer upper arms, the thighs, the buttocks, and hip areas. Do not inject insulin in bony areas or near any of your joints. Efforts must be made to rotate the site of the injection throughout the permissible areas and not inject only into one region.

Fig 8: Sites of insulin Injections



Complications of Insulin Therapy

Hypoglycemia (Low blood sugar):- This is a major side effect and the patient should be educated about it before initiation of insulin and he should be taught about the emergency measures to be taken in such a condition.

Resistance :- The impurities present in the older insulins gave rise to antibodies, which interfere with normal insulin action. However, newer insulins are purer and the chances of insulin resistance minimal.

Edema :- Insulin has salt retaining properties and may cause fluid retention in some patients.

Lipodystrophy (Abnormal fat accumulation) :- This may present as lipoatrophy (decreased fat) or lipohypertrophy (increased fat). Lipoatrophy was seen with the use of older insulins and it is rare with the newer insulins. Lipohypertrophy can be seen with the use of any insulin. The best way to avoid this condition is to frequently change the site of injections.

Local or systemic hypersensitivity reactions

Caution

Never be in haste. Always start with a low dose, go slow. There is no rush to achieve adequate control since this may take several weeks. Start with 8-10 units twice daily. Increase by 2-4 units every 2-3 days according to capillary blood glucose values and your physical condition.

You should always consult your physician about any healthcare questions you may have, especially before trying a new medication, diet, fitness program, or approach to health care issues.

Last created on 23-02-2001
Last updated on 27-04-2007