What is the purpose of site rotation in a patient receiving insulin?

By using a new site every time, you inject, you will reduce the risk of developing lipo (fatty lumps) and will give your skin a chance to heal. You should never inject into damaged tissue like scars or existing lipos because it can change the way your diabetes medication is absorbed.

When should I rotate injection sites?

You should always rotate injection sites regardless of how you give the insulin: pen, syringe or insulin pump. If you use the same small area many times, the fat tissue below the skin sometimes swells, a condition called lipohypertrophy. This creates large bumps that absorb insulin poorly.

What happens if you dont rotate injection sites?

People who take insulin daily should rotate their injection sites. This is important because using the same spot over time can cause lipodystrophy. In this condition, fat either breaks down or builds up under the skin, causing lumps or indentations that interfere with insulin absorption.

What is the Z track method?

THE Z-TRACK METHOD of I.M. injection prevents leakage of irritating and discoloring medications (such as iron dextran) into the subcutaneous tissue. It also may be used in elderly patients who have decreased muscle mass. Lateral displacement of the skin during the injection helps seal the drug in the muscle.

Is insulin given at a 90 degree angle?

Inject the insulin with the needle at an angle of about 90 degrees. If you’re thin, you may need to pinch the skin and inject the insulin at a 45-degree angle (see picture 4).

Is Z track method still used?

YOU SHOULD USE the Z-track method for all I.M. injections in adults. By leaving a zigzag path that seals the needle track, this technique prevents drug leakage into the subcutaneous tissue, helps seal the drug in the muscle, and minimizes skin irritation.

What is dawn phenomenon and Somogyi effect?

Overview. The dawn phenomenon and the Somogyi effect cause high blood sugar levels, especially in the morning before breakfast, in people who have diabetes.