Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients
Abstract Background Insulin treatment is widely used not only for type 1 but also for type 2 diabetes patients. Insulin must be injected into the subcutaneous tissue to be effective. The needle length has been shortened for safety and efficiency. However, whether patients use an appropriate needle l...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Journal of Pharmaceutical Health Care and Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40780-023-00288-9 |
| _version_ | 1797811331226664960 |
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| author | Aya Torii-Goto Kana Hirai Yuri Inukai Yoshimi Hoshina Kazumi Shiomi Junko Ito Masae Yoshikawa |
| author_facet | Aya Torii-Goto Kana Hirai Yuri Inukai Yoshimi Hoshina Kazumi Shiomi Junko Ito Masae Yoshikawa |
| author_sort | Aya Torii-Goto |
| collection | DOAJ |
| description | Abstract Background Insulin treatment is widely used not only for type 1 but also for type 2 diabetes patients. Insulin must be injected into the subcutaneous tissue to be effective. The needle length has been shortened for safety and efficiency. However, whether patients use an appropriate needle length is unclear. Methods Skin thickness was measured by ultrasound with patients in their usual posture during injection. Furthermore, the effect of the intervention in which the needle length was changed was investigated. Results Thirty-eight percent of the patients had fluid leakage and injected the needle intradermally. The average skin thickness was 3.3 mm while sitting, which was greater than that in a previous report including measurements taken while lying down. Consequently, the skin thickness was > 4 mm in 9.5% of the patients who used 4-mm needles. Cases of leakage and intradermal injection decreased when the needle length was changed. Conclusions This study identified that the needle length should be considered in patients with thick skin or a lower body mass index due to possibility of intradermal injection. |
| first_indexed | 2024-03-13T07:22:06Z |
| format | Article |
| id | doaj.art-4ce4ffd2869147dfacd6a0d74455a4d6 |
| institution | Directory Open Access Journal |
| issn | 2055-0294 |
| language | English |
| last_indexed | 2024-03-13T07:22:06Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Pharmaceutical Health Care and Sciences |
| spelling | doaj.art-4ce4ffd2869147dfacd6a0d74455a4d62023-06-04T11:34:46ZengBMCJournal of Pharmaceutical Health Care and Sciences2055-02942023-06-01911610.1186/s40780-023-00288-9Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patientsAya Torii-Goto0Kana Hirai1Yuri Inukai2Yoshimi Hoshina3Kazumi Shiomi4Junko Ito5Masae Yoshikawa6Department of Pharmacy, College of Pharmacy, Kinjo Gakuin UniversityDepartment of Pharmacy, College of Pharmacy, Kinjo Gakuin UniversityDepartment of Pharmacy, College of Pharmacy, Kinjo Gakuin UniversityIto Physiology ClinicIto Physiology ClinicIto Physiology ClinicDepartment of Pharmacy, College of Pharmacy, Kinjo Gakuin UniversityAbstract Background Insulin treatment is widely used not only for type 1 but also for type 2 diabetes patients. Insulin must be injected into the subcutaneous tissue to be effective. The needle length has been shortened for safety and efficiency. However, whether patients use an appropriate needle length is unclear. Methods Skin thickness was measured by ultrasound with patients in their usual posture during injection. Furthermore, the effect of the intervention in which the needle length was changed was investigated. Results Thirty-eight percent of the patients had fluid leakage and injected the needle intradermally. The average skin thickness was 3.3 mm while sitting, which was greater than that in a previous report including measurements taken while lying down. Consequently, the skin thickness was > 4 mm in 9.5% of the patients who used 4-mm needles. Cases of leakage and intradermal injection decreased when the needle length was changed. Conclusions This study identified that the needle length should be considered in patients with thick skin or a lower body mass index due to possibility of intradermal injection.https://doi.org/10.1186/s40780-023-00288-9DiabetesInsulinNeedleSkin thicknessInjection technique |
| spellingShingle | Aya Torii-Goto Kana Hirai Yuri Inukai Yoshimi Hoshina Kazumi Shiomi Junko Ito Masae Yoshikawa Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients Journal of Pharmaceutical Health Care and Sciences Diabetes Insulin Needle Skin thickness Injection technique |
| title | Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| title_full | Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| title_fullStr | Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| title_full_unstemmed | Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| title_short | Investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| title_sort | investigation of appropriate needle length considering skin thickness with the real injection posture for insulin injections in diabetic patients |
| topic | Diabetes Insulin Needle Skin thickness Injection technique |
| url | https://doi.org/10.1186/s40780-023-00288-9 |
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