Use this area of the forum for all discussion specifically relating to Type 1 Diabetes.
by Smiffy1967 » October 17th, 2012, 9:44 am
Just got back from a meeting with my DSN where I was issued with a new Novo Echo pen & whilst flicking through the instructions it states that you are not to replace the inner cap as a risk of needle injuries!!
I must admit I always replace the inner cap and the outer cap before disposal into a sharps bin and always have done. Intact when I'm out I wouldn't even dream of placing a used needle back into the little pocket without both the inner and outer caps on.
Made me wonder if I'm being a bit paranoid or OTT but I always feel safer doing it and in 16 years I have never stabbed myself with the used needle!
Just curious to know what the rest of you do
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Smiffy1967
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by Pilgrim22 » October 17th, 2012, 10:25 am
Hi Smiffy1967, I would never consider trying to put the fiddly little inside cap back on. With my eyesight and arthritis, I would stab myself on a regular basis.
Disabled ex-HM Armed Forces.
Wheelchair user
Osteoarthritis and rheumatoid arthritis.
Retinitis pigmentosa
40% heart function.
Diagnosed diabetic June 2011, LADA, Aug 2012
Novorapid/Levimir, 2g metfromin SR
Other drugs too many to list.
Diagnosis -WRECK
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by AMBrennan » October 17th, 2012, 10:29 am
I was told to not replace the needle cap the first time I tried under the watchful eyes of the ICU nurses.
I suppose that it's doable safely - you can stand up the inner needle cap on a flat surface and push down towards the table.
"Living in a sad statistical world"
Alternative medicine that works is called "medicine".
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by Margaretann » October 17th, 2012, 1:53 pm
been type 1 diabetic for 15 years and I always replace both caps, didnt know any different.
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by bethan90 » October 17th, 2012, 4:04 pm
I always replace the inner cap but I know that you should never resheath a needle. You can get a needle clipping device on prescription from your GP that you clip the needle off, it's really clever but yet another thing to carry around so admittedly I don't use mine.
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by Hobs » October 17th, 2012, 5:56 pm
bethan 90 wrote:I always replace the inner cap but I know that you should never resheath a needle. You can get a needle clipping device on prescription from your GP that you clip the needle off, it's really clever but yet another thing to carry around so admittedly I don't use mine.
I can't see the point (no pun

) of a sharps clipper. The exposed rear end of the pen needle is just as sharp as the body-skin end so no advantage gained.
Light travels faster than sound. This is why some people appear bright until you hear them speak.
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by noblehead » October 17th, 2012, 6:11 pm
Out of habit I always replace the inner cap.
''The Pessimist sees difficulty in every opportunity. The Optimist sees the opportunity in every difficulty.''
Winston Churchill
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by bethan90 » October 17th, 2012, 6:38 pm
The advantage is that when you clip the needle, the exposed part of the needle that has been in your skin is now cut away and so there is no danger of you (or more importantly anybody else) getting a needle stick injury.
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by dizzyrj » October 17th, 2012, 11:14 pm
I dont bother replacing the inner cap as I always loose them. There is more than likely a big stash of them under my desk if I took the time to look.
I mainly use the outer cap to remove or just unscrew it without the outer cap if the sharps bin is next to me
Diagnosed July 2009
Latest Hba1c: 57
Lantus/novorapid
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by picklebean » October 19th, 2012, 4:01 pm
I've been using a preloaded pen and screw on needles for a little under 20 years and I've ALWAYS replaced the inner needle cap.... it wasn't until I recently started on Victoza and read the instructions with that injection that I realised the advice is to not replace the inner cap.... I had no idea.
I suppose it is safer not to replace it, in terms of not jabbing yourself in the finger --- I've done it a few times and I did once manage to jab the needle underneath my fingernail... BIG OUCH!!

T1 since 1993
basal-bolus regime of lantus & humalog
metformin 1000mg M/R
victoza 1.2mg
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by Ambersilva » October 19th, 2012, 4:58 pm
At a recent course for T1s at our clinic we were told to replace the needle after every injection and were shown pictures of the increasing degradation of the needle point after each injection.
T1 since 2009
Lantus & Humalog
Grandmother to four
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by picklebean » October 19th, 2012, 8:14 pm
Ambersilva wrote:At a recent course for T1s at our clinic we were told to replace the needle after every injection and were shown pictures of the increasing degradation of the needle point after each injection.
I think you misunderstood a little - this thread is talking about putting the little inner needle cap back on the needle once you've used it to inject, not re-using the needle for more than one injection.
I definitely wouldn't recommend re-using needles for more than one injection!
T1 since 1993
basal-bolus regime of lantus & humalog
metformin 1000mg M/R
victoza 1.2mg
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by Ambersilva » October 19th, 2012, 8:18 pm
picklebean wrote:Ambersilva wrote:At a recent course for T1s at our clinic we were told to replace the needle after every injection and were shown pictures of the increasing degradation of the needle point after each injection.
I think you misunderstood a little - this thread is talking about putting the little inner needle cap back on the needle once you've used it to inject, not re-using the needle for more than one injection.
I definitely wouldn't recommend re-using needles for more than one injection!
I have not misunderstood anything.
T1 since 2009
Lantus & Humalog
Grandmother to four
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by picklebean » October 19th, 2012, 8:25 pm
erm, ok, if you say so.... but this thread isn't about using needles more than once. It's about replacing the needle cap before you dispose of the needle.
T1 since 1993
basal-bolus regime of lantus & humalog
metformin 1000mg M/R
victoza 1.2mg
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by Mileana » October 20th, 2012, 10:54 pm
The needle clipper is brilliant in that it clips off and also stores the needles inside itself - I think it will hold about 500 of the thingies. They're 'gone' then. It doesn't drop them on the table again.
However, I never use it, I cap it with the outer cap, the inner one goes in the bin. Occasionally when I am out, I will drop the inner cap into the outer before I use the outer one to unscrew the needle itself - mostly because of all the litter I will otherwise have in my pocket in 'small change'.
-M
Diagnosed 1.5/LADA July 2012
Diabetic since 2011.
Insulin since Apr 2012.
PreMix 30 Apr-May
Basal/Bolus May 18th.
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