Quick Tutorial:
Injection
site-
place on the body where an injection is given
Injection
site rotation- Choosing a different area of the body each and
every time an injection is given- with some medications (insulin, blood
thinners), it is recommended that you rotate within the same general area of
the body such as the abdomen, due to faster absorption rates
Disinfection
of the injection site- Cleaning the skin before an injection is given
to prevent infection
(Infection of injection site)
Lipohypertrophy- Scar
tissue accumulation from repeatedly injecting and over use of one particular
injection site
(Scar tissue accumulation due to lack of injection site rotation,
this gentleman only injected immediately to the left and right of his naval for
30 plus years)
Although injection therapies have been proven to be highly
effective in disease management when administered correctly; consistent care (rotation
and disinfection) of the injection site is often compromised due to the
challenges of injection site management and remembering where the last
injection was placed on the body. With no way of knowing where the patient last
injected, overuse of injection sites can easily happen leading to an irregular
build-up of scar tissue called lipohypertrophy. Scar tissue accumulation
(lipohypertrophy) occurs when patients repeatedly inject into the same site on
the body. As skin tissue thickens, critical medication absorption decreases in
an upwards of 25%, compromising medication efficacy leading to poor disease
management, increases in hospitalization and mortality.[1]
Among Type 1 Diabetics alone, lipohypertrophy occurs up to 48.8% in the patient population and in 28% of Type 2 Diabetics.[2]
[1] Johansson et al., (2005). Impaired absorption of
insulin as part from lipohypertrophic injection sites.
Diabetes
Care, 28, 2025-2027. doi:10.2337/diacare.28.8.2025
[2]Vadar B.,
Kizilei S., (2007). Incidence of lipohypertrophy in diabetic patients a study
of influencing factors.
Diabetes Research and Clinical Practice,77, 231-236.doi:10.1016/j.diabres.2006.12.023
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