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Guide to Injecting One Type of Insulin

This Guide is also available as a full-color, 3-page poster. Click here to download the PDF file (see below for more information on PDF files).

One type of insulin

Okay, let's get started:

  1. Wash your hands.

  2. Choose the injection site according to your child’s site rotation plan (click here for more on site rotation).

  3. Check the insulin carefully. Rapid- and short-acting insulins should look clear. Intermediate- and long-acting insulins should look cloudy, with no clumps or crystals. Insulin that looks different than usual could be too old or spoiled. Throw it out and start a new bottle.

  4. If you’re using intermediate- or long-acting insulin, roll the insulin bottle between your hands to mix the insulin evenly. Don’t shake the bottle, as shaking can make the insulin clump together. Rapid- and short-acting (clear) insulin doesn’t need to be mixed.

  5. Check how many units you need to inject. Then pull back the plunger to draw that amount of air into the syringe.

  6. Hold the insulin bottle upright and push the needle into the top of the bottle. Push the plunger to put air into the bottle. Keep the needle in the bottle.

  7. Holding the needle in the bottle, turn the bottle upside-down. Then pull out the plunger to measure out a bit more insulin than you actually need.

  8. With the needle still in the bottle (and the bottle still upside-down), tap the side of the syringe gently. Any air bubbles will rise to the top. Then push the plunger in just enough to get rid of the air and the extra insulin. You should now have just the right amount of insulin in the syringe and no air bubbles. Double-check to make sure you have the right amount of insulin. Then take the needle out of the bottle.

  9. With one hand, gently pinch about an inch of skin at the injection site. Pinching makes sure you don’t inject into a muscle. Injecting into muscle can be much more painful for your child, and it changes the amount of time it takes the insulin to work.

  10. With your other hand, hold the syringe like a pencil. Look at the needle to make sure it’s angled correctly for injection. (The doctor or diabetes educator can show you the correct angle.)

  11. Gently stick the needle in under the skin at the correct angle. Press the plunger with your thumb in a gentle, steady motion until the insulin is gone. Talk to your child about whether injecting the insulin a little slower or a little faster may be more comfortable for him.

  12. When the syringe is empty, pull out the needle at the same angle you put it in. Press the injection site gently for a few seconds to prevent the insulin from leaking.

 

Click here to read about injecting two types of insulin (mixed).

 

 


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