This document discusses insulin pens and proper injection techniques. It begins by introducing insulin pens and their importance for precise insulin dosing. It then discusses barriers to initiating insulin therapy, including concerns about hypoglycemia, weight gain, and complexity of treatment. The document provides tips for proper insulin pen use, such as priming the pen before injections, holding the needle in place for 10 seconds after injecting, and disposing of needles properly. It addresses issues like insulin dripping or leaking after injection and provides solutions. The key message is on the importance of proper injection technique for optimal insulin dosing and outcomes.

1. Insulin Pens
( Precise Injection Techniques )
BY
KHALED EL SAYED EL HADIDY. MD
Head of Internal Medicine Department.
Head of Diabetes and Endocrinology Unit.
Beni-Suef University.

2. Treatment options in type 2 diabetes
1960s 1970s 1980s 1990s
Sulphonylureas
Thiazolidinediones
DPP-4i, dipeptidyl peptidase-4 inhibitor; GLP-1RA, glucagon-like peptide-1 receptor agonist; SGLT2i, sodium glucose co-transporter-2 inhibitor
Metformin
1950s
Insulin
GLP-1 RAs
DPP-4is
SGLT2is
2000s 2010s

3. Barriers to Initiation of Insulin Therapy
• Heath care providers
• Lack of consensus
• Limited local resources
• Inconsistent training
• Self-monitoring
• limited time for patient
education regarding proper
insulin administration
techniques
• Patient challenges
• Hypoglycemia
• Weight gain
• Self-monitoring
• Complexity of treatment
• Injection technique
• Perceived ‘failure’

4. Fear of
Hypoglycemia
Insulin Therapy Barriers*
Carlos Campos, MD, MPH, South Med J. 2007;100(8):804-811

6. v

7. Patients who improved their technique for insulin resuspension had
significantly Fewer Hypoglycemic episodes than those that did not
improve their technique.
Insuman the most efficient human insulin to resuspend to ensure accurate dosing*.
J Diabetes Sci Technol Vol 4, Issue 3, May 2010

8. Complexity of
treatment
Insulin Therapy Barriers*
Carlos Campos, MD, MPH, South Med J. 2007;100(8):804-811

11. Injection
technique
Insulin Therapy Barriers*
Carlos Campos, MD, MPH, South Med J. 2007;100(8):804-811

12. Attach the needle
to a pen
Prime your insulin pen
befor each injection.

13. Insulin Administration (Using an Insulin Pen)
Turn dose knob to correct insulin dose
Inject insulin by pushing on dose knob;
hold for 10 seconds
Throw pen needle away in a sharps container
Pinch skin

14. Rotation schedule

15. Painful injection

18. Insulin Dripping from Pen Needle after Injection,
or Insulin Leakage at Injection Site
• not leaving the needle under the skin long enough.
So count slowly to 10 before withdrawing the needle.
• not pinching up the skin correctly.
So Make sure that you release the pinch before
you remove the needle from the skin.
• not carry a pen with the needle attached - this
causes air to enter the cartridge, slowing the
time it will take for you to get your insulin dose.
So get rid of needle after injection.

19. Bleeding at the Injection Site
stopped by
1- Don't rub the spot.
2- Maintain light pressure with
your finger to prevent bruising.
3- If a bruise does appear, don't
use that injection site again until
the bruise is gone.

26. Take Home Message

31. Thank you