New injection recommendations for patients with diabetes.
(2010) In Diabetes & Metabolism 36 Suppl 1. p.3-18- Abstract
- AIM: Injections administered by patients are one of the mainstays of diabetes management. Proper injection technique is vital to avoiding intramuscular injections, ensuring appropriate delivery to the subcutaneous tissues and avoiding common complications such as lipohypertrophy. Yet few formal guidelines have been published summarizing all that is known about best practice. We propose new injection guidelines which are thoroughly evidence-based, written and vetted by a large group of international injection experts. METHODS: A systematic literature study was conducted for all peer-reviewed studies and publications which bear on injections in diabetes. An international group of experts met regularly over a two-year period to review this... (More)
- AIM: Injections administered by patients are one of the mainstays of diabetes management. Proper injection technique is vital to avoiding intramuscular injections, ensuring appropriate delivery to the subcutaneous tissues and avoiding common complications such as lipohypertrophy. Yet few formal guidelines have been published summarizing all that is known about best practice. We propose new injection guidelines which are thoroughly evidence-based, written and vetted by a large group of international injection experts. METHODS: A systematic literature study was conducted for all peer-reviewed studies and publications which bear on injections in diabetes. An international group of experts met regularly over a two-year period to review this literature and draft the recommendations. These were then presented for review and revision to 127 experts from 27 countries at the TITAN workshop in September, 2009. RESULTS: Of 292 articles reviewed, 157 were found to meet the criteria of relevance to the recommendations. Each recommendation was graded by the weight it should have in daily practice and by its degree of support in the medical literature. The topics covered include The Role of the Professional, Psychological Challenges, Education, Site Care, Storage, Suspension and Priming, Injecting Process, Proper Use of Pens and Syringes, Insulin analogues, Human and Pre-mixed Insulins, GLP-1 analogs, Needle Length, Skin Folds, Lipohypertrophy, Rotation, Bleeding and Bruising, Pregnancy, Safety and Disposal. CONCLUSION: These injecting recommendations provide practical guidance and fill an important gap in diabetes management. If followed, they should help ensure comfortable, effective and largely complication-free injections. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1711329
- author
- Frid, Anders LU ; Hirsch, L ; Gaspar, R ; Hicks, D ; Kreugel, G ; Liersch, J ; Letondeur, C ; Sauvanet, J P ; Tubiana-Rufi, N and Strauss, K
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Diabetes & Metabolism
- volume
- 36 Suppl 1
- pages
- 3 - 18
- publisher
- Elsevier Masson SAS
- external identifiers
-
- wos:000282633100002
- pmid:20933208
- scopus:77957713706
- ISSN
- 1878-1780
- DOI
- 10.1016/S1262-3636(10)70002-1
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Pediatrics/Urology/Gynecology/Endocrinology (013240400)
- id
- 07421512-3965-41cc-bd1f-ad6c4019349d (old id 1711329)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20933208?dopt=Abstract
- date added to LUP
- 2016-04-04 09:35:30
- date last changed
- 2025-04-04 14:31:06
@article{07421512-3965-41cc-bd1f-ad6c4019349d,
abstract = {{AIM: Injections administered by patients are one of the mainstays of diabetes management. Proper injection technique is vital to avoiding intramuscular injections, ensuring appropriate delivery to the subcutaneous tissues and avoiding common complications such as lipohypertrophy. Yet few formal guidelines have been published summarizing all that is known about best practice. We propose new injection guidelines which are thoroughly evidence-based, written and vetted by a large group of international injection experts. METHODS: A systematic literature study was conducted for all peer-reviewed studies and publications which bear on injections in diabetes. An international group of experts met regularly over a two-year period to review this literature and draft the recommendations. These were then presented for review and revision to 127 experts from 27 countries at the TITAN workshop in September, 2009. RESULTS: Of 292 articles reviewed, 157 were found to meet the criteria of relevance to the recommendations. Each recommendation was graded by the weight it should have in daily practice and by its degree of support in the medical literature. The topics covered include The Role of the Professional, Psychological Challenges, Education, Site Care, Storage, Suspension and Priming, Injecting Process, Proper Use of Pens and Syringes, Insulin analogues, Human and Pre-mixed Insulins, GLP-1 analogs, Needle Length, Skin Folds, Lipohypertrophy, Rotation, Bleeding and Bruising, Pregnancy, Safety and Disposal. CONCLUSION: These injecting recommendations provide practical guidance and fill an important gap in diabetes management. If followed, they should help ensure comfortable, effective and largely complication-free injections.}},
author = {{Frid, Anders and Hirsch, L and Gaspar, R and Hicks, D and Kreugel, G and Liersch, J and Letondeur, C and Sauvanet, J P and Tubiana-Rufi, N and Strauss, K}},
issn = {{1878-1780}},
language = {{eng}},
pages = {{3--18}},
publisher = {{Elsevier Masson SAS}},
series = {{Diabetes & Metabolism}},
title = {{New injection recommendations for patients with diabetes.}},
url = {{http://dx.doi.org/10.1016/S1262-3636(10)70002-1}},
doi = {{10.1016/S1262-3636(10)70002-1}},
volume = {{36 Suppl 1}},
year = {{2010}},
}