Improvement of Glycemic Control by Re-education in Insulin Injection Technique in Patients with Diabetes Mellitus

Nakatani, Yuki; Matsumura, Mihoko; Monden, Tsuyoshi; Aso, Yoshimasa; Nakamoto, Takaaki

doi:10.1007/s12325-013-0066-8

Cited by 36 publications

(36 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nakatani et al aimed to evaluate the impact of re-education on insulin injection technique in 87 insulin-treated patients. The results showed that there was a significant decrease in HbA1c and glycoalbumin levels in all 87 patients, with patients with a poor initial understanding of the insulin injection technique gaining the most from the re-education [19]. This study illustrates how important it is to provide proper education, including re-education, on the self-administration of insulin in order to reduce medication errors and prevent complications.…”

Section: Discussionmentioning

confidence: 98%

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

et al. 2017

View full text Add to dashboard Cite

Insulin is a high-alert medication in both inpatient and outpatient settings. Insulin can cause significant harm when administered in error. Despite advancements in insulin pen technology, errors in the administration technique remain an issue. Although various factors can contribute to administration errors, lack of education on how to operate these devices is one of the most common reasons they occur. As such, the mechanical technique used by the patient needs to be continually assessed in order to reinforce education where needed. We describe three unique patient cases that depict incorrect administration techniques when using pen devices and the consequences that could have resulted from these errors. These cases involve the use of a syringe instead of a pen needle, injecting without removing the inner cap, and dialing the pen back down instead of pushing the plunger. Although pen devices are relatively simple to use, this article reinforces the need for continual assessment of and education about insulin administration. The teach-back method is an approach that can be used to assess a patient’s technique and re-educate them at every available opportunity to reduce the risk of administration errors, which can result in complications and hospitalizations.

show abstract

Section: Discussionmentioning

confidence: 98%

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Most Chinese patients refused insulin injection as they have the misconception that insulin injection was painful and they had needle phobia, especially in those who have never started insulin [ 23 ]. Education on insulin usage helps patients clear these kinds of misconception and allows them to accept the daily injection of insulin and improve glucose control [ 24 ]. Coupling the drop in mean HbA1c was the drop in proportion of diabetic patients solely on diet or lifestyle modification alone.…”

Section: Discussionmentioning

confidence: 99%

Five-year change of clinical and complications profile of diabetic patients under primary care: a population-based longitudinal study on 127,977 diabetic patients

Fung

Wan

Jiao

et al. 2015

Diabetol Metab Syndr

View full text Add to dashboard Cite

BackgroundNumber of diabetic patients under public primary care in Hong Kong rose from 150,157 (2009) to 173,015 (2013). This study aimed to track the 5-year change of their outcomes and care standard after the introduction of quality enhancement programmes.MethodsLongitudinal study was conducted on a group of diabetic patients who received continuous care under public primary care between 2009 and 2013. Socio-demographic and clinical data was retrieved from central database. The standard of care in terms of proportion of patients achieving haemoglobin A1c (HbA1c), systolic and diastolic blood pressure (SBP and DBP), and low density lipoprotein-cholesterol (LDL-C) target levels, mean parameter changes, and 5-year cumulative incidence of major complications were assessed. Outcomes between 2009 and 2013 were compared by McNemar’s test for proportion of patients treated to targets and paired t-test for continuous outcome parameters.ResultsA group of 127,977 diabetic patients who had continuous follow-up between 2009 and 2013 were assessed. A significantly higher proportions of patients achieving targets of HbA1c (<7 %), SBP (<130 mmHg), DBP (<80 mmHg), LDL-C (<2.6 mmol/L), triglyceride (<1.7 mmol/L), and high density lipoprotein-cholesterol (>1.0 or 1.3 mmol/L) were observed (p < 0.001). There was a significant drop in the mean values of HbA1c (7.2–7.0 %), SBP (136.9–131.3 mmHg), DBP (75.4–72.1 mmHg), LDL-C (3.1–2.4 mmol/L), triglyceride (1.7–1.4 mmol/L), and body mass index (25.6–25.3 kg/m2). More patients (0.6 % raised to 3.5 %) used insulin in addition to their oral anti-diabetic drugs for their management, and a significant boost (from 9.0 to 55.0 %) was on statin use. 5-year cumulative incidence of any major diabetic complication was 6.2 %.ConclusionsStandard of public primary care for diabetic patients enhanced from 2009 to 2013, as reflected by the improvement in outcomes of care. It could be related to the implementation of the territory-wide quality enhancement programmes in all public primary care clinics since 2009, with coverage increasing from 3.1 % (2009) to 81.9 % (2013).Clinical trial number and registry: NCT02034695, ClinicalTrials.govElectronic supplementary materialThe online version of this article (doi:10.1186/s13098-015-0072-x) contains supplementary material, which is available to authorized users.

show abstract

“…An important consideration is that many patients may require re-training on proper injection technique. Previous work observed that blood glucose control in patients displaying the poorest injection technique improved the most upon re-education [36]. This re-training helps ensure that bad habits are halted and keeps the patient up to date with the latest guideline recommendations.…”

Section: Importance Of Patient and Physician Educationmentioning

confidence: 96%

Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study

Bari¹,

Corbeil

Farooqui

et al. 2020

Diabetes Ther

View full text Add to dashboard Cite

Introduction: Proper insulin injection technique has demonstrated positive clinical outcomes in patients with diabetes. A Canadianbased practice reflective was undertaken to evaluate the current state of understanding of injection technique practices by patients administering insulin, and the importance physicians place on proper injection technique. Methods: Twenty-four sites across Canada completed a practice profile survey and enrolled adult non-pregnant patients with either type 1 or type 2 diabetes injecting insulin using an insulin pen. Seven areas of proper injection Digital Features To view digital features for this article go to

show abstract

Improvement of Glycemic Control by Re-education in Insulin Injection Technique in Patients with Diabetes Mellitus

Abstract: Re-education in the insulin injection technique led to an improvement in glycemic control in insulin-treated diabetic patients, especially in those with a poor understanding of the insulin injection technique. More attention should be paid to these strategies for outpatients.

Cited by 36 publications

References 23 publications

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

Five-year change of clinical and complications profile of diabetic patients under primary care: a population-based longitudinal study on 127,977 diabetic patients

Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study

Contact Info

Product

Resources

About