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Injection Sites Confused

Sep 15, 2013

A patient of mine with type 2 diabetes had recently started on Lantus. I asked her about her injection sites and how they were feeling. She stated that her arms were sore and she was experiencing pain while injecting. I asked her to show me her injection sites so I could examine them; she rolled up her sleeve and showed me two large lumps on each of her forearms….

Apparently, when she was instructed on how to inject Lantus, she was told to “inject it in your arm,” but was not aware of which part of her arm to use. We discussed appropriate injection sites and demonstrated how to inject in her upper arm safely.

Lesson learned:

Always specify the exact locations appropriate for insulin injections when teaching patients, using visuals whenever able. To a patient, “leg” might mean “calf,” while to you it might mean “upper thigh.” Visualization of all injection sites at visits can help avoid unnecessary pain and discomfort.

Megan Fendt, RD, CDN, CDE                        

Copyright © 2013 Diabetes In Control, Inc.


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