Study of knowledge regarding insulin and injection technique, hypoglycemia and its management among the diabetes patients: A study from single Centre
Dr. Chandrakant Bhaskar, Dr. Sachin Chittawar, Dr. TN Dubey
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.
Dr. Chandrakant Bhaskar, Dr. Sachin Chittawar, Dr. TN Dubey. Study of knowledge regarding insulin and injection technique, hypoglycemia and its management among the diabetes patients: A study from single Centre. International Journal of Medicine Research, Volume 4, Issue 2, 2019, Pages 67-71