Insulin Leakage
| Author: Judy Kohn, RN, BSN, CDE |
| Last Updated: Friday, March 31, 2006 |
Q: "How do you prevent insulin leakage in a 3-year-old child with diabetes? I am afraid he is not getting the correct dose."
A: I know this can be a valid concern. Here are some tips from The Diabetes Educator, 1991 issue:
- Large volumes of insulin are more likely to leak. Insulin doses can be divided and given in two separate shots. (I know this tip is likely not applicable with a 3-year-old, as generally, large volumes refer to doses of 50 units or more).
- Injections that are too shallow (referred to as intradermal) rather than the preferred subcutaneous route, may leak. It is important to use the correct depth of injection for each body part, and of course this must be individualized.
- If you are grasping the tissue when you insert the needle, then release the grasp before depressing the plunger of the syringe; this will prevent squeezing out the insulin. Again, I realize this may not be possible in a small child; in such a case, just be sure not to tightly pinch the skin as this can cause the insulin to be forced back out.
- Insulin should be injected slowly to allow the tissues to expand.
- The needle should remain in the tissue for 30 to 60 seconds after injection and then be rapidly withdrawn. Slow withdrawal can cause a tract for the insulin to follow back to the skin surface. I would add however, that it is unlikely you or most people can hold the needle in the skin that long-especially with a 3-year-old! This is the first time I ever read this recommendation; most insulin references recommend counting either "a few" or up to "5 seconds" before withdrawing the needle.
- This final tip is from the September/October, 2000 edition of Diabetes Self-Management: After removing the needle by pulling it straight out, you may gently press on the injection site with your finger for a couple seconds. Do not rub or massage the skin where the insulin is injected, as it can affect the insulin absorption rate.
Finally I would suggest that it is important to discuss this with your diabetes educator and physician and ask them to review your injection technique.
Related Links
Children with Diabetes
http://www.childrenwithdiabetes.com
Diabetes Self-Management
http://www.diabetesselfmanagement.com
Important Notice: The responses provided by the team of Diabetes Educators are based on their personal experiences and expertise as practicing diabetes healthcare professionals, and are not to be considered diabetes management advice from Abbott Laboratories. Remember that information provided by the team of Diabetes Educators is for general background purposes and is not intended as a substitute for medical diagnosis or treatment by a trained professional. You should always consult your physician about any healthcare questions you may have, especially before trying a new medication, diet, fitness program, or approach to healthcare issues.
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