Protect your skin - rotate
Protect your skin – rotate
The target of site rotation is to never inject into the same spot within a short time. There are many ways to rotate and various assistive devices you can use. You first select your injection area which needs to have an adequate layer of fat; for example the abdomen, the thighs and the buttocks.(15) Within your preferred area, you follow a rotation scheme. Please remember that it is best to adhere to one scheme.
- Never use the same injection spot more than once consecutively.
- Place the injections 1-2 centimeters apart.
- Never inject close to your navel.
Rotation schemes - an example
Rotation schemes – an example
In cooperation with people affected by diabetes, our specialists have developed site rotation schemes for the generally favored injection areas: the abdomen and the thighs. If you operate with long and short acting insulin, you can combine these injection areas perfectly.
- Start at either side of your navel.
- Work your injections in a line from the top to the bottom of your abdomen.
- Each day, you skip a little more (about 1-2 centimeters) away from your navel and start a new line.
- Use the whole surface of your abdomen. Depending on your fat layer, the last line could start almost at your flank.
- Leave as much space as possible between the injection spots. The more spacious the surface of your abdomen is, the more generous you may place your injections.
- When no more space is left to inject into, change to the other side of your navel and follow the same procedure.
- Start with your left leg.
- Think of two lines down your thigh.
- In the morning, inject into the outer line and in the evening inject into the inner line.
- The next day, you move downwards to your knee and repeat the procedure.
- Stay approximately handbreadth clear of your knees.
- When you are done with one leg, proceed to the other one and repeat the procedure.
Tips: site rotation
✔ Rotate injection sites and injection areas to avoid lipos.
✔ Rotating is key to maintaining predictable blood glucose levels.
✔ Regularly check for lipos. If you detect any anomalies, please contact your physician.
15. Hirsch L. et al., Intramuscular Risk at insulin Injection Sites-Measurement of the Distance from Skin to Muscle and Rationale for Shorter-Length Needles for Subcutaneous Insulin Therapy, Diabetes Technology & Therapeutics, December 2014;16(12):867-873.
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