World Diabetes Day: Right injection technique crucial to control diabetes

On world diabetes day experts suggest patients to exercise caution and follow safe injection practices to achieve the desired results of insulin therapy.

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Written By: Editorial Team | Updated : November 14, 2017 5:50 PM IST

Diabetes is a metabolic disorder which is characterized by an excessive glucose (sugar) in the blood, that results due to abnormalities in carbohydrate, fat, and protein metabolism in the body. Besides being a disease in itself, an uncontrolled high blood sugar level leads to further complications, including retinopathy (affecting eye), nephropathy (affecting kidney), neuropathy (microvascular), heart diseases and peripheral vascular disease, resulting in organ and tissue damage.

With 69.2 million diabetics in the country, of these 36 million not even diagnosed, India tops the world ranking in terms of a maximum number of people living with the diabetes1. And this is not the only concern that the disease has in the offering, the fact that its prevalence is rapidly escalating among youths is an added burden on entire healthcare and economy. According to a study, in India patients spend an average of 2 to 5% of their family income on the management of diabetes. But despite such significant spending what happens when it comes to the management of the disease? (Read: Insulin for Diabetes A detailed guide)

Right injection technique is crucial when it comes to achieving glycemic control and preventing complications of diabetes. The FITTER India 2017 recommendations will surely start the much-needed conversation around the topic and help raise awareness on the same, says Dr Sanjay Kalra, FIT India Advisory member and leading Endocrinologist.

Such widespread unawareness around injection usage and its role in diabetes management paved the way to Forum for Injection Techniques (FIT) recommendations for Best Practice in Insulin Injection Technique. The Forum for Injection Technique & Therapy Expert Recommendations (FITTER) India 2017 include --

  • Barriers to insulin injection therapy and preventive measures.
  • Updated recommendations on device specifications for a given patient.
  • Insulin injection practices in indoor settings.
  • Adverse safety outcomes of faulty techniques.
  • Measures to enhance awareness of the good injection practices among HCP and patients.

Dr SV Madhu, Director-Professor & Head, Dept. Of Endocrinology, Centre for Diabetes, Endocrinology & Metabolism, University College Of Medical Sciences and GTB Hospital, Delhi says, When it comes to diabetes management, especially when it is insulin dependent, people are mostly clueless about the right dosage, technique, and safe injection practices. Most diabetics in India are oblivious to the fact that wrong injection techniques may not lead to the desired results despite correct insulin dosage and timing. (Read: insulin myths busted!)

The FITTER India recommendations are based on Global Injection Technique Questionnaire (ITQ) Study, updates on local and global clinical evidence after robust published literature search and the global FITTER meeting that was held in Rome in the year 2015 and included over 150 key opinion leaders from all over the world and more than 15000 healthcare professionals who connected virtually to the Congress.

Experts believe that November 14th being the World Diabetes Day brings an excellent opportunity to initiate and channelize the deliberations around the importance of correct and safe insulin injection practices in ensuring better diabetes management.

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