International Journal of Medicine Research

Authors
Dr. Chandrakant Bhaskar, Dr. Sachin Chittawar, Dr. TN Dubey

Abstract
Background: Insulin remains the mainstay of treatment in diabetes and about 3.2 million Indians depend on insulin injections for the management of diabetes Aims and Objectives: To assess knowledge regarding Insulin and Injection technique, hypoglycemia and its management at Home in Diabetic Patients. Materials and Methods: One hundred and fifty diabetic patients were studied the Department of Medicine OPD at in Hamidia Hospital Gandhi Medical College Bhopal Madhya Pradesh between a period of August 2016 to September 2018. Patients were interviewed with a questionnaire assessing their knowledge on insulin injection technique and hypoglycemia. Results: Majority were in the age group of 27-37 years (30.5%) with female preponderance (56%). Majority of the people used the syringe as device for insulin injection (94.67%), 76.67% people have the education of insulin injection technique, 64.67% people occasionally missing the insulin dose, 74.67% people takes insulin before meal, 44.67% people takes meal after 30 minutes of taking injection, 58% subjects rotate vial/pen before use, 87.33% people did not used the spirit for cleansing the site of injection, 11.33% people uses injection after drying the spirit, 60.67% people changes their injection site, 51.33% people changed the injection site weekly, 36.00% people preferred arm as injection site, 67.33% people never inspected any abnormality at injection site, 82% people did not inspected any lip hypertrophy at injection site, 52.67% of people inject at 90 degree angle, 73.33% people fold the skin before injection, 80.67% people do not rub skin after injection, 78% people kept needle inserted for 5 sec, majority of the people do not withdraw needle partly (94.67%), 61.33% people store insulin at room temperature, 55.33% people missed the insulin injection while travelling, 82.67% people change the needle in greater than 2 days, 82.67% people reuses the needle to save the money, 84.67% disposes the needle in garbage, 84% people do not adjust the insulin by themselves, 97.33% people do not inject through clothes, 84.67% people do not have knowledge of 40IU and 100IU insulin, 71.33% people have knowledge of hypoglycaemia, 72% people do not take the precaution for hypoglycaemia, 78.67% of people do not have glucometer, 90.67% of people do not have knowledge about mixing of insulin, only 11(7.33%) patients have the knowledge about the SICK day management, No patients were doing routine check up of injection site by professionals. 71.33 % patients did not get their injection site ever being checked, whereas 28.67% visit the doctors only when they found any problem at injection site and 80% people rarely checked their blood glucose by themselves. Conclusion: We found significant gap with respect to insulin delivery recommendation through syringes/pen and current insulin injection practice.