Insulin inj-what is the shortcomings both on physician & woman herself?

ABC of Insulin :-Procedural defects ??Mistake 1:- Match the syringe as per vial: There are two types of insulin syringes 40 & 100IU syringes to be used against how many units the vial contains per ml. For instance mixtard cartridge contains 100 units per ml whereas Mixtard U/40 from vial contains 40 units per ml . If she uses mistakenly 40 unit syringe (instead of 100 U syringe) then  the patient may ended up taking only 8 units of insulin twice a day instead of 20 units twice a day .

Mistake 2:- Storage of insulin if refrigerator is unavailable then keep it under the  Cot preferably dipped in water, to keep as cool as possible ,

Mistake 3:- changing of needles at least alt days , Mistake 4:- The angle with the needle pierces the skin, Mistake 5:- No massage after injection at the periumbilical areas(fat) ,Not at gluteal / thigh all these has to repeatedly counselled and supplied as a leaflet form(pt instruction sheet), Mistake 6 Not to depend on pharmacist of  nearby chemist shop who will come for administering inj at his convenient  time.  It should be stressed that Insulin should be taken by the man/ woman concerned him /herself. Himself so that timing remains perfect. Mistake 7 :-Take insulin and Icebox while going to vacation/ relatives house. If stay is at hotels insist a room where refrigerator is available in the room and while checking out see that vials are taken out. In long plane jaunty show the Doctors prescription and get the insulin & syringe in the cabin. Mistake 8:-If having anorexia then take 1/3 insulin less.

Pen system vs traditional syringes ? Which one better in Gynae cases,  I mean in nonpreg women & men?? Ans:- :-The pendulum is more in favour of Pen system with refill cartridges stalked in advance . Injecting insulin through pens is less time consuming and more convenient. In addition the dosing is precise. The upper portion of pen is rotated in clockwise manner till the desired numerical figure of insulin dose appears in a window at its upper end. This is known as dialing of dose. In short, insulin pens are smarter and convenient option . Disposable pens are preloaded with insulin cartridge inside the sealed compartment. They are in ready to use form but once all the insulin is used up they cannot be refilled.

Mistake 6:  Not explaining  properly about hypoglycemia sym & signs and not keeping stalk of Glucose at bedroom

Mistake 7:- Night doses a bit less. There is a new kind of insulin (RYZODEG) which do not lead to hypoglycaemia at all So diabetologists have opted this kind of insulin for night dose. *Ryzodeg-Refill available cost about Rs 1900/- per cartridge).Hypoglycaemia is dangerous. If having and Keep insulin dose at allowed dose at supper time as no one will be alert at night time-all will sleep and in winter all doors are closed-may not listen to your call/ cry..There may be occasionally light off at night and glucose pkt  may be difficult to locate if she /he sleeps alone,. Take care & happy reading. Take home message: Do not take anything for granted. Do not relay on patient . Verify each step as chest specialists insist that in every visit the spray taking method shroud be dome and demonstrated in the presence of physician or technician in PFT room so that right dose of bronchodilators  enters into lungs alveoli. This is again like physiotherapy.. In case of doubt(rise of blood sugar instead of Insulin) doctor should  physically inspect the vials and syringes.