Insulin injection sites

The most commonly used sites are the thighs, upper buttocks, abdomen, and upper arms. A few patients use their calves and forearms. The conventional wisdom is that patients should rotate their injection sites e.g. left arm Monday morning, left abdomen Monday evening, left thigh Tuesday morning, right thigh Tuesday evening, etc. This is to avoid overuse of a particular site. However, insulin absorption varies with each injection site. It is most rapid from the abdomen, then the arms, thighs, and buttocks. A multi-site rotation scheme can therefore cause variability in blood glucose balance although this may be more of a problem in some people than others. It may be better to use, say the abdomen during the day and thighs at night, or to use the left and right side of a particular site for a week or two and then change. Patients who are prepared to monitor this closely with blood-glucose testing can work out which site is most appropriate for which circumstance.

Patients will all have favourite sites, usually those which are easy to reach, and there will be areas which gradually become numb through repeated use. Occasionally one discovers small black holes in a patient's leg or abdomen into which he or she has been putting insulin for years.

Insulin has a direct effect on fat cells and causes hypertrophy at overused injection sites. These unsightly bulges also cause variability in insulin absorption. Atrophy due to insulin antibodies is rarely seen nowadays. Patients must be encouraged to use the whole extent of each available injection site.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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