Diabetes is one of the most common chronic diseases at present, and insulin pen injection therapy plays an important role in the treatment of diabetes. However, the majority of patients might reuse disposable insulin pen needles for various reasons, which leads to related complications. As far as we know, this article is the first to describe a patient whose needle remained in the right upper limb while reusing a disposable insulin injection needle for subcutaneous insulin injection with the non-dominant hand. The patient went to the doctor 1 week later. The needle moved from the lateral area of the proximal upper arm (the injection site) to the posterolateral area of the distal upper arm. The needle was then successfully removed by surgery. The reuse of disposable insulin pen needles might lead to serious complications. It is suggested to strengthen the education of people living with diabetes to help them use insulin pen needles safely.
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http://dx.doi.org/10.1111/jdi.14003 | DOI Listing |
Animals (Basel)
December 2024
Department of Animal Science, Faculty of Agricultural and Veterinary Sciences, São Paulo State University, Jaboticabal 14884-900, SP, Brazil.
The objective of this study was to evaluate the effect of 3-nitrooxypropanol (3-NOP) in combination with different feed additives on growth performance, carcass traits, meat quality, enteric methane (CH) emissions, nutrient intake and digestibility, and blood parameters in feedlot beef cattle. In experiment (Exp.) 1, one hundred sixty-eight Nellore bulls (initial bodyweight (BW) 410 ± 8 kg) were allocated to 24 pens in a completely randomized block design.
View Article and Find Full Text PDFPharmacoecon Open
December 2024
AxTalis B.V., Gentbrugge, Belgium.
Background: Adequate insulin injection technique (IIT) is crucial to optimize the efficacy of diabetes therapy. Widespread non-practice of injection-site rotation and frequent reuse of insulin pen needles (PN) promote high rates of lipohypertrophy (LH) among people living with diabetes (PwD). LH is associated with increased insulin requirement and suboptimal insulin absorption leading to worsened glycemic control and increased risk for hypoglycemia.
View Article and Find Full Text PDFAm J Nurs
January 2025
Brenna Frankish is the clinical learning programs coordinator at Children's Healthcare of Atlanta, where Kristina Amplo is the campus education coordinator and Christina Calamaro is the director of nursing research and evidence-based practice for nursing and allied health. Rachael Townsend is the pediatric program manager at Wellstar Health System in Marietta, GA. Tonya Miller-Roberts is a clinical psychologist at the Atlanta VA Medical Center in Decatur, GA. Akane Fujimoto Wakabayashi is a graduate research assistant at the Georgia Institute of Technology in Atlanta. This study was supported through funding from Owen Mumford, Ltd, which also supplied the active safety pen needle devices used. Contact author: Brenna Frankish, . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Background: Insulin pens are the mainstay of insulin delivery in the pediatric population, especially among patients unable to use an insulin pump. Safety pen needle (SPN) devices have been embraced by both nurses and patients because they limit the risks of needlestick injury and exposure to blood-borne pathogens. With the commonly used traditional passive SPN device, however, it can be difficult to observe that the dose has been accurately or fully administered.
View Article and Find Full Text PDFJ Anim Sci
January 2024
Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista, Botucatu, 8618-970, Brazil.
This study evaluated the effects of different sources (sulfate vs. hydroxychloride) of Cu, Mn, and Zn during feed restriction and a high-starch diet on heifer growth performance. On day 0, Nelore heifers (n = 40) were stratified by body weight (BW = 238 ± 38 kg) and age (21 ± 1 mo), and individually allocated into 1 of the 40 drylot pens.
View Article and Find Full Text PDFDiabetes Technol Ther
November 2024
Department of Biostatistics, Harvard University, Boston, Massachusetts, USA.
To assess the impact and feasibility of a telehealth program using continuous glucose monitoring (CGM) and a connected insulin pen cap (CIPC) in nursing homes for older adults with insulin-treated diabetes. This multicenter, prospective, sequential, single-arm study consisted of three phases: (1) baseline, blind CGM (); (2) intervention 1, CGM () without alarms; and (3) intervention 2, CGM with alarms for hypo and hyperglycemia. Two telehealth visits from reference diabetes units were conducted to adjust antidiabetic treatments.
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