INSULIN DELIVERY SYSTEMS

I. Insulin syringes
friendly features
for self injections

Marking

In insulin units

Types of insulin syringes

How to use insulin syringe

1. Clean your hand

2. Gently roll the insulin vial between the palms (Shaking can cause air bubbles)

3. Pull the plunger to fill the syringe with air (amount equal to the required dose)

4. clean the top of the vial with alcohol and place it on a flat surface
5. Hold the syringe in your hand as a pencil and Inject the air into the vial using the index finger

6. Turn both the vial and the syringe to get the vial up and the syringe down And Draw the required dose into the syringe

7. Check that there are no air bubbles (If any, flick your forefingers against the syringe

8. If mixture of regular and NPH

are to be injected:
A. Inject air into NPH vial first B. Then inject air to regular insulin vial C. Then draw the required dose of regular insulin first D. Lastly draw the required dose of the NPH E. Check the exact volume in the syringe by reading at the eye level

9. Clean the skin with alcohol

10. Pinch a skin fold and insert the needle at 90 degree angle

11. Release the skin Then Push the plunger smoothly and completely

Sites of insulin injection

Arranged in order of fastest to slowest rates of absorption

II. Pen injector

Composed of:

1. Insulin cartridge 2. a dial (to measure the dose) 3. disposable Pen needles (to deliver the dose).

Types of Insulin Pens

Nondisposable
Plastic or metal

Disposable
Plastic

Uses a prefilled glass Pen is prefilled with cartridge of insulin, insulin, the entire pen only the cartridge is is disposed when disposed when empty empty

Method of administration
I. Pen must be rotated upside-down ( at least 10 times) before using

II. To prevent air pupples:

1. 2. Avoid leaving needle on pen between injections prime the needl with 2 U of insulin before injection

Insulin Pump
The pump is worn outside the body Insulin is administered SC through a small catheter and needle that is held in place by skin tape

 Pumps provide a continuous

(basal) infusion of a rapid acting insulin.

It can be supplemented at mealtime by manual activation of the pump (bolus, brandial)

Types of insulin pump

1. Traditional Insulin Pump 2. Sensor-Augmented Insulin Pump

Advantages
1. More convenient 2. Avoid multiple daily injections 3. Better control of blood glucose level 4. Reduce the risk of side effects (e.g. Sever hypoglycemia)

Disadvantages
1. Malfunction because of occlusion of the catheter delivering insulin 2. Patient must monitor his Blood glucose level several times adaily

Insulin syringe
Cheap

Insulin pen injector

Expensive

Insulin Pump
More expensive

More painful

Less Painful

Difficult to be injected

Easy

Easier