The needles
used to inject insulin are very small as the insulin only needs to be injected
under the skin – not into a muscle or vein. Once it's been injected, it soaks
into small blood vessels and is taken into the bloodstream. It takes some time
to build your confidence but once you
become more relaxed injections will get easier and soon become second nature.
There are 3
main areas where you can inject insulin – stomach, buttocks and thighs.
Sometimes your health care team may recommend other sites such as your arms.
Because all these areas is covered with wide skin. You should make sure to
inject at different sites each time.
It is very
important to rotate injection sites, as injecting into the same site can cause
a build-up of lumps under the skin (also known as lipohypertrophy), if this
happens your insulin will not work properly.
Test your
blood glucose levels as recommended.
Make sure
your hands and the area you’re injecting are clean.
Eject 2
units of insulin into the air to make sure the tip of the needle is filled with
insulin (this is called an ‘air shot’).
Choose an
area where there is plenty of fatty tissue, such as the tops of thighs or the
bottom.
If you have
been advised to, lift a fold of skin (the lifted skin fold should make sure you
don’t squeezed tightly that will causes skin blanching or pain)
and insert the needle at a 90° angle. With short needles you don’t need to
pinch up, unless you are very thin. Check with your diabetes health care team.
Put the
needle in quickly. If you continue to find injections painful, try numbing the
area of skin by rubbing a piece of ice for about 15 to 20 seconds before injecting.
Inject the
insulin, ensuring the plunger (syringe) or thumb button (pen) is fully pressed
down and count to 10 before removing the needle.
Release the
skin fold and dispose of the used needle safely.
Remember to
use a new needle every time. Reusing a needle will make it blunt and can make
injecting painful.
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