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Kalra S, Mithal A, Sahay R, et al. Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional. Diabetes Ther. 2017;8(3):659-672doi: 10.1007/s13300-017-0244-9.
Kalra, S., Mithal, A., Sahay, R., John, M., Unnikrishnan, A. G., Saboo, B., Ghosh, S., Sanyal, D., Hirsch, L. J., Gupta, V., & Strauss, K. W. (2017). Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional. Diabetes therapy : research, treatment and education of diabetes and related disorders, 8(3), 659-672. https://doi.org/10.1007/s13300-017-0244-9
Kalra, Sanjay, et al. "Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional." Diabetes therapy : research, treatment and education of diabetes and related disorders vol. 8,3 (2017): 659-672. doi: https://doi.org/10.1007/s13300-017-0244-9
Kalra S, Mithal A, Sahay R, John M, Unnikrishnan AG, Saboo B, Ghosh S, Sanyal D, Hirsch LJ, Gupta V, Strauss KW. Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional. Diabetes Ther. 2017 Jun;8(3):659-672. doi: 10.1007/s13300-017-0244-9. Epub 2017 Mar 13. PMID: 28289892; PMCID: PMC5446373.
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Diabetes Ther. 2017 Jun;8(3):659-672. doi: 10.1007/s13300-017-0244-9. Epub 2017 Mar 13.

Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional.

Diabetes therapy : research, treatment and education of diabetes and related disorders

Sanjay Kalra, Ambrish Mithal, Rakesh Sahay, Mathew John, A G Unnikrishnan, Banshi Saboo, Sujoy Ghosh, Debmalya Sanyal, Laurence J Hirsch, Vandita Gupta, Kenneth W Strauss

Affiliations

  1. Bharti Hospital, Kunjpura Road, Karnal, India.
  2. Medanta the Medicity, CH Baktawar Singh Road, Sector 38, Gurugram, Haryana, India.
  3. Osmania Medical College, Turrebaz Khan Rd, Esamiya Bazaar, Koti, Hyderabad, Telangana, India.
  4. Providence Endocrine and Diabetes Specialty Centre, TC 1/2138, Near GG Hospital, Murinjapalam, Thiruvananthapuram, Kerala, India.
  5. Chellaram Diabetes Institute, Pune-Bangalore, NH4, Bavdhan, Pune, Maharashtra, India.
  6. Diacare-Diabetes Care and Hormone Clinic, 1 and 2 Gandhi Park Society, Nehrunagar Cross Roads, Ambavadi, Ahmedabad, Gujarat, India.
  7. AMRI Medical Centre Kolkata, No. 97 A, Southern Avenue, Above Maruti Showroom, Opposite Lake Stadium, Kolkata, West Bengal, India.
  8. KPC Medical College and Hospital, Kolkata, F, Raja Subodh Chandra Mullick Road, Jadavpur, Near Jadavpur Railway Station, Kolkata, West Bengal, India.
  9. BD Diabetes Care, 1 Becton Dr. MC 378, Franklin Lakes, NJ, USA.
  10. BD Diabetes Care, BD, 6th Floor Signature Tower-B, South City I, NH 8, Gurgaon, Haryana, India.
  11. BD Diabetes Care, POB 13, Erembodegem-Dorp 86, 9320, Erembodegem, Belgium. [email protected].

PMID: 28289892 PMCID: PMC5446373 DOI: 10.1007/s13300-017-0244-9

Abstract

INTRODUCTION: Using the Indian and rest of world (ROW) injection technique questionnaire (ITQ) data, we address key insulin injection complications.

METHODS: In 2015 we conducted an ITQ survey throughout India involving 1011 patients. Indian values were compared with those from 41 other countries participating in the ITQ, known here as ROW.

RESULTS: More than a quarter of Indian insulin users described lesions consistent with lipohypertrophy (LH) at their injection sites and approximately 1 in 5 were found to have LH by the examining nurse (using visual inspection and palpation). Just over half of Indian injectors report having pain on injection. Of these, 4 out of 5 report having painful injections only several times a month or year (i.e., not with every injection). Doctors and diabetes educators in India (as opposed to nurses) have a larger role in teaching patients how to inject than they do in ROW. Despite this specialized approach, a very high percentage of patients report that they have not been trained (at least cannot remember being trained) in a wide range of essential injection topics. Only about 30% of Indian injectors get their sites checked at least annually, with nearly a third only having sites checked when they specifically complained and nearly 4 out of 10 never having had their sites checked.

CONCLUSION: Indian HCPs can clearly do a better job covering all the vital topics essential to proper injection habits.

Keywords: Infusions; Injections; Insulin; Lipodystrophy; Lipohypertrophy; Needles; Needlestick; Subcutaneous

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