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- Title
Subcutaneous or intramuscular injections of insulin in children. Are we injecting where we think we are?
- Authors
Polak M; Beregszaszi M; Belarbi N; Benali K; Hassan M; Czernichow P; Tubiana-Rufi N; Polak, M; Beregszaszi, M; Belarbi, N; Benali, K; Hassan, M; Czernichow, P; Tubiana-Rufi, N
- Abstract
<bold>Objective: </bold>This study was designed to assess the insulin injection location in a group of children who had their injection according to their daily practice, thought to lead to subcutaneous injections.<bold>Research Design and Methods: </bold>The location of the insulin deposit at the injection site was visualized using an ultrasound device.<bold>Results: </bold>The exact insulin injection location could be localized, and 18 of 59 injections (30.5%) (one injection for each child) were in the intramuscular tissue. Of the children who had intramuscular injection, 15 of 18 were boys. The children who had an intramuscular injection had a significantly lower percentile of BMI (mean +/- SE: 47 +/- 8 vs. 72 +/- 4, P = 0.004), lower distance from skin surface to muscle fascia without a skinfold (5.6 +/- 0.6 vs. 11 +/- 0.7 mm, P < 0.0001), and a lower distance from skin surface to muscle fascia with a skinfold (8.1 +/- 0.9 vs. 15.9 +/- 0.8 mm, P < 0.0001) than children who had a subcutaneous insulin injection.<bold>Conclusions: </bold>We identified a group of children at risk for intramuscular insulin injections and that may deserve specific injection technique and advice.
- Publication
Diabetes Care, 1996, Vol 19, Issue 12, p1434
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/diacare.19.12.1434