When you are injecting insulin, you should aim to inject into the fatty tissue just underneath the skin.
If you think you are injecting into the muscle, you may want to change your technique or ask your GP to prescribe shorter needles.
The steps below are a broad guide to injecting insulin.
If you plan to change your technique, check with your healthcare team, diabetic nurse or consultant for their advice.
Firstly, prepare your kit.
You will need:
Make sure you have your kit available at all times and if possible, inform your family as to its location.
If you suffer from a hypo, this will allow your family to act quickly.
To perform your insulin injection:
To inject, you will need an insulin pen, enough insulin for the dose, a new pen needle and some cotton wool or a tissue.
Many diabetic patients are worried about the pain of injecting insulin. There are several methods that can help avoid or minimise pain when injecting.
You may notice a little blood leaks out after injecting.
This is not to worry about, it just means the needle has gone through a small blood vessel.
If this happens, you may notice a raised area of your skin from the blood underneath but this should ease down over the next few hours and you’ll be left with a bit of a bruise for a few days.
If you tend to inject in the same places you may find that your flesh becomes less flexible than usual. This is called lumpy skin and means the insulin won’t be absorbed as well.
Test your skin, where you inject, to see if you have lumpy skin – your flesh should feel as supple as it is on the rest of your body.
If it is not, you may need to rotate your injection spots better. Lumpy skin can also lead to the area of flesh sticking out more than usual, this is easier to notice on the arms and tummy. This is known as insulin injection site rotation.
Each of the main four areas (abdomen, buttocks, outer thighs and upper arms) should give a give a good area of flesh to inject into.
However, you may find you have a ‘favourite part’ of that area to inject into. If this is the case, try injecting into surrounding areas, picking a new spot each time.
One way to pick a non-lumpy area is to feel or squeeze the skin before injecting insulin. If it doesn’t feel as supple as it could be, pick a different spot to inject into.
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