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Does anyone know the new guidelines for rotating injection sites?

1claire

Member
Messages
18
Location
Banbridge
Type of diabetes
Type 1
Treatment type
Insulin
I have heard that there are new guidelines to the use of injection sites - type 1. Anyone know how long one area should be used for.
 
Hi @1claire
Welcome to the forum !! :)

I have not heard of any "new" guidelines as regards rotating.

My understanding is that thighs , stomach , and top of backside are the main areas and that if you think of each area as being a grid -- then moving approx. 1 inch up or down the area in a row and then move over an inch and repeat the process.

with thighs I would be able to get 4 rows of 7 injections on each thigh
with stomach approx. 6 injections per "row" and again 4 rows.

I hope this helps.

Perhaps somebody may have further info on updated guidelines.

all the best !!
 
I've never heard of any rotation guidelines: just inject somewhere different as often as possible. I used to use my left side for injection and finger pricks on odd numbered dates and my right side for even numbered days. Then use a rule such as moving down my body during the day finishing on the thigh before bed. (And taking each finger in turn for finger pricks during the day.) One of the few advantages of bruising easily is knowing where I've injected recently ... and so to avoid.
 
The most recent advice I have been given was gleaned from a DAFNE course I attended in December 2016.

For basal (baseline) injections, the team advised using either the outer thighs or the buttocks. Choose one site, e.g. left outer thigh, and stick with the site for a week, then move to another site, e.g. right outer thigh. I usually follow this routine, or I alternate between each site for every injection.

For bolus (with meals) injections, the team advised using either the stomach or the backs of the arms. Legs can be used too, but they are slower absorbing. With the stomach, imagine your belly in four quarters, as if it were a cake about to be cut it into four pieces from the centre point of your belly button. Class each quarter as a single site. Use one quarter for a week, and rotate in a clockwise (or anticlockwise, if you fancy) fashion, using each quarter, as the first, for a week. This will allow each site to recover from repeated use. For the backs of the arms, alternate between each arm.

The main idea is to let one site heal and recover from repeated injections so as to prevent lumps from forming over time if one site in particular gets used more than another. Basically, follow either of these routines, or vary it up each time! You're good to go!
 
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