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Insulin is a sugar control drug that many diabetic patients need to use in their daily life, but some people ignore some details or make some mistakes in the process of using and storing insulin, which affects the control of sugar. Effect.
Today we will talk about the precautions for the use and storage of insulin.
diabetics please note< /p>
Precautions for insulin use
1. Control the timing of administration
Short-acting insulin must be injected half an hour before meals, and medium- and long-acting insulins must be injected 40 to 60 minutes before meals. Short-acting insulin 3 to 4 times / day, intermediate-acting insulin 2 times / day, long-acting insulin 1 time / day.
2. Select the injection site
Subcutaneous injection method is adopted, and the suitable injection site is based on the order of absorption from fast to slow Yes: Abdomen, outer thigh, outer upper arm and outer upper buttocks. In general, short-acting insulin is best injected in the abdomen, and medium- and long-acting insulin is best injected in the thigh or buttocks. The injection site should follow the rotation rule and be used alternately, and the injection at the same site should preferably be separated by more than 1 month.
3. Pre-Injection Precautions
Check insulin for discoloration, crystals, or flocs; check injection site Whether there is subcutaneous fat hyperplasia, inflammation, edema, ulcer or infection; when using premixed insulin, shake it back and forth more than 10 times until a uniform white suspension appears; Aspirate the long-acting insulin again, and then mix well, and do not operate in reverse.
4. Precautions during injection
According to the patient’s body shape, the thickness of the skin at the injection site and the length of the needle, the injection angle is determined and whether it is necessary to use pinching injection; when using a syringe for injection, the air should be repeatedly discharged upward until the insulin liquid overflows from the needle; if an insulin injection pen is used, it should stay at least 10 seconds before pulling out the needle to ensure that all the medicine is injected into the body ; If the single injection dose is greater than 40U, it should be divided into two injections.
5. Precautions after injection
The needles of the used syringes or injection pens are medically contaminated sharps and should be Cap the needle or place it in a hard-shell container with a lid to prevent injury to others.
6. Observation and treatment of adverse reactions
① Hypoglycemia:Related to overdose and/or diet reduction, according to the condition, eat candy, sugar-sweetened beverages or intravenous 50% glucose solution;
② Insulin allergy:< /strong>It is manifested as itching and urticaria-like rash at the injection site. At this time, it is necessary to change the type of insulin preparation and use anti-allergic treatment. In severe cases, insulin treatment should be discontinued as appropriate;
< strong>③ Subcutaneous fat atrophy or hyperplasia at the injection site: It can recover slowly after stopping the injection at this site.
diabetics please note
insulin Precautions for storage
Unopened insulin should be stored in a refrigerator at 2-8°C . Remember not to put insulin in the freezer layer of the refrigerator, even the fresh-keeping freezer layer at 0℃ will not work, because below 2℃, insulin will crystallize and lose its biological properties effect, even thawed, does not restore its biological effect. Refrigerated insulin can be stored until the expiration date and should be discarded after expiration.
Storage of Opened Insulin Opened insulin cannot be put back in the refrigerator, should be stored at room temperature (25°C) , dry, dark place. Away from heat sources such as hot drinks, computers, and hair dryers that are emitting heat. Indicate the opening time, be sure to use it up within 4 weeks, and discard it after 4 weeks.
when ready to inject, Take it out in advance To reduce the pain during injection, insulin should be taken out of the refrigerator in advance and placed at room temperature for 30 to 60 minutes before injection.
Travel Notes When traveling on business, due to limited conditions without a refrigerator, insulin can be stored in an insulin cooler, or in a dark, cool place And dark places; When flying, can’t check insulin in luggage, because the checked temperature is often below freezing point; When traveling by car ,Do not put the insulin bag in the radiator or trunk of the car.
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Source:
People’s Health Publishing House publishes “Science Accompanying “Sugar” Healthy Life – Diabetes Prevention and Control Heart Words”
Editor-in-chief of the book: Zou Yuhua Zheng Wenfeng
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