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Gadgets & Insulin administration in Diabetes

Gadgets & Insulin administration in Diabetes. Ruth Ruby Elizabeth Diabetes Educator CMC, Vellore. Self blood glucose monitoring. Glucometers Haemo Gluco Test Strips Continious Glucose Monitoring System. Functions of SBGM. To give physician in long term treatment planning.

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Gadgets & Insulin administration in Diabetes

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  1. Gadgets &Insulin administration in Diabetes Ruth Ruby Elizabeth Diabetes Educator CMC, Vellore

  2. Self blood glucose monitoring • Glucometers • Haemo Gluco Test Strips • Continious Glucose Monitoring System

  3. Functions of SBGM • To give physician in long term treatment planning. • To give client in short term adjustments in insulin and diet. • To signal possible emergency situations. • To enhance client education. • Facilitates the better understanding of diabetes to give client an active role in the management of the disease to obtain an optimal blood glucose control. American Diabetes Association

  4. Technology Involved Colorimetry Optical Technology Photometry Reflectance Spectrophotometry Transmittance Spectrophotometry Amperomeric Technology - Biosensors

  5. Amperometry Oxidation of glucose Electrons(electric current) Transmitted Picked up by Electrodes Detector Electric signal Glucose concentration

  6. Cost • Maintenance • Technique of use • Availability of strips • Portability • Features Factors to be considered while selecting Glucometers

  7. Client associated factors • Visual Acuity • Manual Dexterity • Psychological • Literacy • Age

  8. HEMOGLUCO TEST STRIPS Colour coding test strips

  9. Bed side glucose monitoring • Clear administrative responsibility for the procedure • A well-defined policy/procedure manual • A training program for those personnel doing the testing • Quality control procedures, and • Regularly scheduled equipment maintenance

  10. Factors affecting blood glucose • Source of blood • Altitude • Hematocrit levels • Other substances • Faulty user techniques

  11. Insulin Administration Conventional Method • U- 40 Syringes • U- 50 Syringes • U- 100 Syringes

  12. Guidelines for Insulin Administration • Syringes • Disposal • Syringe Reuse • Syringe Alternatives • Injection Technique • Injection Procedures • Injection Site

  13. Insulin Pens Temporary Pen devices short term insulin therapy Permanent Pen devices Intended for long term Insulin therapy

  14. Advantages of the Pen • Fine needle • Easy & Accurate loading • Easy administration • Portable and Easy storage

  15. Storage of Insulin • Refrigerator • Earthen Vessel • Flask with ice water • Coolant jelly while transporting (to maintain the cold chain)

  16. Loading the syringe • 40 U - One division  one unit • 100U - One division  two unit • Load air • Push into the vial • Withdraw insulin • Expel air

  17. Sites of insulin administration • Upper outer arm • Upper outer thigh • Anterior abdominal wall

  18. ease in self administration larger surface area rate of absorption risk of hitting muscles Anterior abdominal wall

  19. Technique of insulin administration • Normalize temp • Mix • Clean the rubber top

  20. Insulin administration using Pens • Mix • Select the site • Priming • Dial the dose • Inject • Count till 10 • Withdraw

  21. Injection Technique • Appropriate site • Hold the site with non-dominant hand • Hold syringe like a pen, • inject at 90 degrees • Push the plunger • Take a count of 10 • Don”t massage

  22. Skin Problems & Injection Sites • Lipoatrophy • Lipohypertrophy

  23. Thank You

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