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Indian Injection Technique Study: Population Characteristics and Injection Practices.

Sanjay Kalra1, Ambrish Mithal2, Rakesh Sahay3

  • 1Bharti Hospital, Kunjpura Road, Karnal, India.

Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders
|March 15, 2017
PubMed
Summary
This summary is machine-generated.

Indian diabetes patients frequently reuse insulin needles and inject in thighs, increasing risks. Safe sharps disposal and proper injection techniques require more attention for better diabetes management.

Keywords:
InfusionsInjectionsInsulinLipodystrophyLipohypertrophyNeedlesNeedlestickSubcutaneous

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Area of Science:

  • Endocrinology
  • Diabetes Management
  • Public Health

Background:

  • An estimated 3.2 million Indians with diabetes used insulin in 2010.
  • Limited data exists on insulin injection techniques among Indian patients.

Purpose of the Study:

  • To assess and compare insulin injection techniques in India with global practices.
  • To identify potential risks associated with current injection methods in India.

Main Methods:

  • A 2015 survey utilized the Injection Technique Questionnaire (ITQ) with 1011 Indian patients.
  • Indian patient data was compared against data from 41 other countries (Rest of World - ROW).

Main Results:

  • Indian patients had lower Body Mass Index (BMI) than ROW, increasing intramuscular (IM) injection risk.
  • Significantly higher needle reuse rates and more injections per needle were observed in India compared to ROW.
  • Indian patients more frequently injected in thighs, a higher-risk site for IM injections, and had poorer sharps disposal practices.

Conclusions:

  • Despite common use of short needles in India, high needle reuse poses risks.
  • Multiple daily insulin injections are less common in India than globally.
  • Improved education on injection techniques, including skin folds and safe sharps disposal, is crucial for Indian diabetes patients.