Insulin

Injection sites

The usual injection sites are

  • Front of thigh/lateral thigh (the preferred site because of ease of access, administration and for slower absorption of longer acting insulins)
  • Abdomen (the preferred site when faster absorption is required, and it may be less affected by muscle activity on exercise)
  • Buttocks (upper outer quadrant – may be useful in small children)
  • Lateral aspect of arm (in small children with little SC fat, IM injection is more likely and it may cause unsightly bruising)

  • Cleaning or disinfection of skin is not necessary unless hygiene is a real problem. Infection at injection sites is uncommon

Recommendation

Children and adolescents should be encouraged to inject consistently within the same site at a particular time in the day, but must avoid injecting repeatedly into the same spot to prevent lipohypertrophy

 
Problems with injections

 
 
Consensus Guidelines 2000
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IDF Type 1 Guidelines
IDF Type 2 Guidelines