JDC Diabetes team stumbled upon this patient in the photograph while organizing a free Diabscreen Kerala(a project of P.Kesavadev Trust) camp at a southern district in Kerala. This lady was self injecting insulin without changing the needle, on the anterior aspect of the forearm of either hands. The glucometer reading was 456 mg/dl. Such scenarios are not uncommon.
Lessons learnt: Patients need to be taught on insulin injection techniques repeatedly and if possible verified during each hospital visit.
Insulin on the arm should be on the upper outer quadrant which requires assistance of another person.
The infection and erratic absorption is due to wrong injection technique, wrong injection site and reusing the same needle for several months resulting in infection and uncontrolled diabetes.
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JDC Diabetes team stumbled upon this patient in the photograph while organizing a free Diabscreen Kerala(a project of P.Kesavadev Trust) camp at a southern district in Kerala. This lady was self injecting insulin without changing the needle, on the anterior aspect of the forearm of either hands. The glucometer reading was 456 mg/dl. Such scenarios are not uncommon.