“Safety” technology: a hidden cause of diabetic ketoacidosis

Patient-Reported Preference and Clinical Efficacy of Insulin Pen Devices With Safety Needles in Adolescents and Young Adults With Type 1 Diabetes: A Prospective Study

“…Moreover, no patient-reported needle stick accident when using SPN compared with 31 patients in the conventional needle. We assumed that the lower incidence of needlestick injuries with SPN may stem from the mechanical characteristics of the SPN itself, SPN is loaded with a retractable shield that prevents needle exposure during and after injection [10]. However, Bossi et al [21], showed that there was no significant difference between the SPN and conventional syringes with regards to the events of in-hospital hypo-and hyperglycemia (p = 0.3).…”

“…Previous reports showed that fear of self-injection is common in adolescents with T1DM and it can lead to non-compliance with treatment regimen [15]. SPN can reduce accidental puncture risk through a retractable shield that automatically lockouts the needle after injection; once the injection site is pressured, the sliding sleeve encircling the needle is retracted and, thus, prevent needle-stick injuries [10]. The advantages of insulin pens over conventional methods are well-characterized in the literature.…”

“…Therefore, several new needles were introduced to minimize the pain and reduce injection-related adverse events [7]. Safety pen needles (SPN), which were primarily introduced for hospital settings, can reduce accidental puncture risk through a retractable shield that automatically lockouts the needle after injection [10]. Recent reports highlighted that SPN was associated with ease-of-use, users' satisfaction, and a low incidence of needlestick injuries [11].…”