Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique
Joint Authors
Poudel, Ramesh Sharma
Shrestha, Shakti
Bhandari, Sushma
Piryani, Rano Mal
Adhikari, Shital
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Majority of patients with diabetes mellitus (DM), who are on insulin therapy, use insulin pen for convenience, accuracy, and comfort.
Some patients may require two different types of insulin preparations for better glycemic control.
We have reported a case of poor glycemic control as a consequence of inappropriate insulin injection technique.
A 57-year-old man with type 2 DM had been using premix insulin 30 : 70 for his glycemic control for the last 12 years.
On follow-up visit, his blood sugar level (BSL) had increased; therefore the treating physician increased the dose of premix insulin and added basal insulin with the aim of controlling his blood sugar level.
Despite these changes, his BSL was significantly higher than his previous level.
On investigation, the cause of his poor glycemic control was found to be due to inadequate delivery of insulin (primarily premix) as a consequence of lack of priming and incompatibility of single insulin pen for two cartridges.
His basal insulin was discontinued and the patient along with his grandson was instructed to administer insulin correctly.
After correction of the errors, the patient had a better glycemic control.
American Psychological Association (APA)
Poudel, Ramesh Sharma& Shrestha, Shakti& Bhandari, Sushma& Piryani, Rano Mal& Adhikari, Shital. 2018. Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique. Case Reports in Endocrinology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143018
Modern Language Association (MLA)
Poudel, Ramesh Sharma…[et al.]. Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique. Case Reports in Endocrinology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143018
American Medical Association (AMA)
Poudel, Ramesh Sharma& Shrestha, Shakti& Bhandari, Sushma& Piryani, Rano Mal& Adhikari, Shital. Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique. Case Reports in Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143018
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143018