The role of proper insulin injection technique training FOR achieving of good glycaemic control

Inappropriate injection technique leads to incorrect insulin dosing, increased pain and impaired glucose control in patients with diabetes. This review examines in detail the results of two clinical studies, the Glycemic Impact of Insulin Injection Technique (GIIIT) and the UK Lipo Study (UKLS) that...

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Autores principales:	Inna V. Misnikova, Valeriya A. Gubkina, Alexander V. Dreval
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2018
Materias:	diabetes mellitus injection technique hba1c lipohypertrophy Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/9ff4e174ab9f437fb6b805bb7a89fbc4
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spelling	oai:doaj.org-article:9ff4e174ab9f437fb6b805bb7a89fbc42021-11-14T09:00:22ZThe role of proper insulin injection technique training FOR achieving of good glycaemic control2072-03512072-037810.14341/DM9663https://doaj.org/article/9ff4e174ab9f437fb6b805bb7a89fbc42018-11-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/9663https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Inappropriate injection technique leads to incorrect insulin dosing, increased pain and impaired glucose control in patients with diabetes. This review examines in detail the results of two clinical studies, the Glycemic Impact of Insulin Injection Technique (GIIIT) and the UK Lipo Study (UKLS) that examined the effect of teaching patients proper injection techniques to achieve good glycemic control. The GIIIT study included patients with type 1 and type 2 diabetes (18–70 years) who were on a regimen of multiple daily insulin injections. They were categorised into three groups: those that received structured injection technique training using 4-mm injection needles (TN), those that received injection technique training (T) and control (C). The UKLS study included 75 patients who received structured training to reduce the risk of developing lipohypertrophy. Initially, deviations from proper insulin injection technique were observed in a majority of patients in both the studies. In the GIIIT study, 6 months after training under TN and T conditions, HbA1c decreased by 1%, with no observable changes under the C condition. The daily insulin dose was increased by 6 IU in all conditions. Overall, the use of 4-mm short needles reduced post-injective pain in all patients. In the UKLS study, for 6 months, the variability of glycemia and frequency of unexplained hypoglycaemia decreased as the daily dose of insulin decreased by an average 6 IU; in addition, HbA1c level decreased from 8.6% to 8.2%. Six months after the training, both studies noted a decrease in or disappearance of lipohypertrophy in the patients. These results indicate that proper injection technique training improves glycemic control in patients with diabetes.Inna V. MisnikovaValeriya A. GubkinaAlexander V. DrevalEndocrinology Research Centrearticlediabetes mellitusinjection techniquehba1clipohypertrophyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 21, Iss 5, Pp 419-424 (2018)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus injection technique hba1c lipohypertrophy Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus injection technique hba1c lipohypertrophy Nutritional diseases. Deficiency diseases RC620-627 Inna V. Misnikova Valeriya A. Gubkina Alexander V. Dreval The role of proper insulin injection technique training FOR achieving of good glycaemic control
description	Inappropriate injection technique leads to incorrect insulin dosing, increased pain and impaired glucose control in patients with diabetes. This review examines in detail the results of two clinical studies, the Glycemic Impact of Insulin Injection Technique (GIIIT) and the UK Lipo Study (UKLS) that examined the effect of teaching patients proper injection techniques to achieve good glycemic control. The GIIIT study included patients with type 1 and type 2 diabetes (18–70 years) who were on a regimen of multiple daily insulin injections. They were categorised into three groups: those that received structured injection technique training using 4-mm injection needles (TN), those that received injection technique training (T) and control (C). The UKLS study included 75 patients who received structured training to reduce the risk of developing lipohypertrophy. Initially, deviations from proper insulin injection technique were observed in a majority of patients in both the studies. In the GIIIT study, 6 months after training under TN and T conditions, HbA1c decreased by 1%, with no observable changes under the C condition. The daily insulin dose was increased by 6 IU in all conditions. Overall, the use of 4-mm short needles reduced post-injective pain in all patients. In the UKLS study, for 6 months, the variability of glycemia and frequency of unexplained hypoglycaemia decreased as the daily dose of insulin decreased by an average 6 IU; in addition, HbA1c level decreased from 8.6% to 8.2%. Six months after the training, both studies noted a decrease in or disappearance of lipohypertrophy in the patients. These results indicate that proper injection technique training improves glycemic control in patients with diabetes.
format	article
author	Inna V. Misnikova Valeriya A. Gubkina Alexander V. Dreval
author_facet	Inna V. Misnikova Valeriya A. Gubkina Alexander V. Dreval
author_sort	Inna V. Misnikova
title	The role of proper insulin injection technique training FOR achieving of good glycaemic control
title_short	The role of proper insulin injection technique training FOR achieving of good glycaemic control
title_full	The role of proper insulin injection technique training FOR achieving of good glycaemic control
title_fullStr	The role of proper insulin injection technique training FOR achieving of good glycaemic control
title_full_unstemmed	The role of proper insulin injection technique training FOR achieving of good glycaemic control
title_sort	role of proper insulin injection technique training for achieving of good glycaemic control
publisher	Endocrinology Research Centre
publishDate	2018
url	https://doaj.org/article/9ff4e174ab9f437fb6b805bb7a89fbc4
work_keys_str_mv	AT innavmisnikova theroleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol AT valeriyaagubkina theroleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol AT alexandervdreval theroleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol AT innavmisnikova roleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol AT valeriyaagubkina roleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol AT alexandervdreval roleofproperinsulininjectiontechniquetrainingforachievingofgoodglycaemiccontrol
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The role of proper insulin injection technique training FOR achieving of good glycaemic control

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