Left Side

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Problems in Insulin Injection

Errors in insulin dose measurement

This occurs most commonly due to mismatch of insulin strength and insulin syringe, for example, drawing U-40 insulin in a U- 100 syringe. If this is done, only 2/5 of the intended dose will be injected. On the other hand, if U-100 insulin is drawn into a U-40 syringe, 5/2 of the intended dose will be injected. It is often not realized that the tuberculin syringe is not an insulin syringe. Errors may also occur by taking wrong proportion of two insulins while mixing, for instance, taking 20 units of short-acting and 10 units of intermediate-acting insulin, instead of the prescribed 10 units of short-acting and 20 units of intermediate-acting insulin.

Froth in insulin

This may occur if the insulin vial is shaken vigorously or if an equivalent amount of air is not introduced in the insulin vial before withdrawing insulin.

Loose plunger

This problem encountered with glass syringes after prolonged use, should now be a thing of the past, with disposable plastic insulin syringes.

Breaking the needle

Even with older needles, this was a uncommon occurrence. With newer fine disposable needles, this problem is rare. In case a needle does break, draw a circle with an ink or a coloured pencil around the site of the injection and report to the doctor. The needle should never be inserted completely. It is easier to remove a broken needle if a small part remains outside the skin.

Painful Injection

Injecting cold insulin
Air bubbles in the syringe
Injecting before spirit (if used) on the skin has evaporated
Keeping the muscles in the injection areas tense while injecting
Penetrating the skin slowly
Changing the direction of needle during insertion and withdrawal
Reusing needles when they have become dull.

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Left Side

Left Side

Problems in Insulin Injection