Many individuals with diabetes use insulin syringes (usually a number of instances a day) to manage the insulin dose prescribed by their treating physician. Whereas in kind 1 diabetes, the physique can’t make its personal insulin to manage blood sugar ranges, in kind 2 diabetes, the physique can’t use insulin effectively or make sufficient of it, prompting the usage of insulin injection. In line with healthline.com, insulin might be given in numerous methods: syringe, pen, or pump, which is normally determined in session with the physician relying on one’s insulin dose, consolation stage, and value elements. Many a time, nonetheless, these syringes are sometimes used and reused by folks for weeks and even months at a stretch, specialists say. However ought to syringes, even when being utilized by just one particular person, be reused?
In line with Dr Shuchin Bajaj, founder director, Ujala Cygnus Group of Hospitals, reusing insulin pen needles may result in a rise within the bacterial progress on the needle which may make one expertise ache when injecting. This, in flip, can result in bruising and/or bleeding when inserting or withdrawing the needle, together with an elevated threat of lipohypertrophy (lumpy pores and skin), and the danger of the very positive tip of the needle breaking off.
Greater than that, reusing an insulin needle may doubtlessly result in extreme an infection, notably in immunocompromised sufferers, as famous in a 2020 case the place a 71-year-old feminine affected person developed stomach major cutaneous mucormycosis, reported MPR, an e-prescribing service for healthcare professionals.
On the 2017- Discussion board for Injection Approach and Remedy Skilled Selection (Fitter) India, specialists identified that needle re-use is “disturbingly excessive”. Quoting the worldwide insulin injection approach questionnaire survey (ITQ), carried out amongst 14,000 sufferers from over 400 centres in 42 nations, the discussion board famous {that a} whole of 55.8 % of interviewed sufferers reuse their syringes for insulin use, largely for comfort or to save lots of prices. The survey additionally highlighted that about 40 % used their pen needles greater than 5 instances.
They additional that the “shortest needles (at present 4mm in pens and 6mm in syringes) are secure, efficient, and fewer painful and needs to be the primary line of alternative in all affected person classes”.
“Shorter needles can present security from injecting into the muscle, as an insulin injection within the muscle might result in hypoglycemia,” Subhankar Chowdhury, professor and head, Division of Endocrinology, IPGMER and SSKM Hospital, Kolkata, mentioned on the discussion board.
Pre-sterilised insulin syringes shouldn’t be re-sterilised by a person as it’s harmful and should lead to an injection abscess, Dr Anil Bhoraskar, senior diabetologist, SL Raheja Hospital, Mahim and secretary, Diabetic Affiliation of India (Scientific Part) advised indianexpress.com.
“Insulin syringes in addition to needles are for use solely as soon as after which discarded after use. Moreover, reusing needles is just not advisable as a result of they develop into blunt and harm extra. Even when the injection is just administered as soon as every day, the syringes and needles must be modified recurrently. It’s suggested to not interchange needles for 2 completely different manufacturers of injections,” he mentioned.
Dr Bhoraskar warned that persevering with to make use of the identical syringe “may doubtlessly have a adverse influence on well being and lead to hospitalisation“. “Additionally, by no means use the identical syringe on two completely different folks since this might unfold an infection. A blunt needle can lead to a hematoma, so diabetic sufferers who’re additionally on blood thinners ought to keep away from utilizing the needles greater than as soon as,” he mentioned.
Learn how to safely dispose off syringes and lancets?
In line with United States Environmental Safety Company (EPA)
*After you’ve given your self an insulin shot, put your syringe immediately into a powerful plastic or steel container with a good cap or lid. After you employ a lancet, you possibly can put it into the identical container.
*Don’t attempt to bend, break, or put the cap again in your needle…you would possibly harm your self!
*When the container is full and tightly sealed with heavy-duty tape, throw it out within the trash. Don’t put this container in your recycling bin.
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