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WHY ARE MY SUGARS NOT CONTROLLED EVEN AFTER INSULIN?
!!! Proper injection technique of insulin is foremost important thing !!!
It was fresh Monday morning, after rejuvenating from a fruitful Sunday. A middle- aged gentleman who was known diabetic for around 17 years came for his sugar control. Earlier, he was following a doctor in his local area.
He was in a frustrated mood because of poor glycemic control even after starting insulin. We have reviewed his insulin bottle and syringes. He was taking insulin in the wrong sites and improper way.
He was taking insulin in the calf region of his legs and forearms.
When we take insulin in other than prescribed sites of injection, it won't work in the usual way. Inefficient and ineffective action of insulin results in erratic control over the blood sugars.
Insulin when injected in the subcutaneous tissue works in a better and a predictable way. than when it is injected to the muscle or skin. Over the calf regions and forearm, there is no sufficient subcutaneous fat. Proposed and better sites for insulin injection are, front of the abdomen, front of thighs, buttocks, outer side of shoulders.
After education about all these he was quite happy and understood what the mistake happened earlier.
Next week he reviewed us with his glucose readings which were done at home. There was a big smile on his face. His readings were within the normal range. On follow up he was doing well.
When we are using insulin, proper injection technique and giving insulin shots at proposed sites is very much needed to achieve good glycemic control. Proper injection techniques and selection of injection sites are rewarding.
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