Evidence map›Paper›PMID 28289892›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2017

Indian Injection Technique Study: Injecting Complications, Education, and the Health Care Professional.

Sanjay Kalra, Ambrish Mithal, Rakesh Sahay, Mathew John, A G Unnikrishnan, Banshi Saboo, Sujoy Ghosh, Debmalya Sanyal, Laurence J Hirsch, Vandita Gupta and 1 more

Open access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Tissue Response to Subcutaneous Infusion Catheter.Journal of diabetes science and technology · 2020
    Pooled it
  2. Article
  3. Article
  4. Optimising Insulin Injection Techniques to Improve Diabetes Outcomes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  5. A Coloured Pen Needle Education System Improves Insulin Site Rotation Habits: Results of a Randomized Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Insulin Injection Technique in China Compared with the Rest of the World.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  10. Insulin Injection Technique is Associated with Glycemic Variability in Patients with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Comment on the New Indian Injection Technique Recommendations: Critical Appraisal of the Real-World Implementation of the Current Guidelines.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Article
  17. Indian Injection Technique Study: Population Characteristics and Injection Practices.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 3 countries.

Sanjay KalraBharti Hospital, Kunjpura Road, Karnal, India.ORCID http://orcid.org/0000-0002-1031-0067
Ambrish MithalMedanta the Medicity, CH Baktawar Singh Road, Sector 38, Gurugram, Haryana, India.
Rakesh SahayOsmania Medical College, Turrebaz Khan Rd, Esamiya Bazaar, Koti, Hyderabad, Telangana, India.
Mathew JohnProvidence Endocrine and Diabetes Specialty Centre, TC 1/2138, Near GG Hospital, Murinjapalam, Thiruvananthapuram, Kerala, India.
A G UnnikrishnanChellaram Diabetes Institute, Pune-Bangalore, NH4, Bavdhan, Pune, Maharashtra, India.
Banshi SabooDiacare-Diabetes Care and Hormone Clinic, 1 and 2 Gandhi Park Society, Nehrunagar Cross Roads, Ambavadi, Ahmedabad, Gujarat, India.
Sujoy GhoshAMRI Medical Centre Kolkata, No. 97 A, Southern Avenue, Above Maruti Showroom, Opposite Lake Stadium, Kolkata, West Bengal, India.
Debmalya SanyalKPC Medical College and Hospital, Kolkata, F, Raja Subodh Chandra Mullick Road, Jadavpur, Near Jadavpur Railway Station, Kolkata, West Bengal, India.
Laurence J HirschBD Diabetes Care, 1 Becton Dr. MC 378, Franklin Lakes, NJ, USA.
Vandita GuptaBD Diabetes Care, BD, 6th Floor Signature Tower-B, South City I, NH 8, Gurgaon, Haryana, India.
Kenneth W StraussBD Diabetes Care, POB 13, Erembodegem-Dorp 86, 9320, Erembodegem, Belgium. kenneth.strauss@bd.com.
AMRI Hospitals · INBharti Hospital · INDiabetes Care Center · USDiabetes Care & Hormone Clinic · INKG Hospital · INKPC Medical College and Hospital · INOrdem dos Médicos · PTOsmania Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUsing the Indian and rest of world (ROW) injection technique questionnaire (ITQ) data, we address key insulin injection complications.

methodsIn 2015 we conducted an ITQ survey throughout India involving 1011 patients. Indian values were compared with those from 41 other countries participating in the ITQ, known here as ROW.

resultsMore than a quarter of Indian insulin users described lesions consistent with lipohypertrophy (LH) at their injection sites and approximately 1 in 5 were found to have LH by the examining nurse (using visual inspection and palpation). Just over half of Indian injectors report having pain on injection. Of these, 4 out of 5 report having painful injections only several times a month or year (i.e., not with every injection). Doctors and diabetes educators in India (as opposed to nurses) have a larger role in teaching patients how to inject than they do in ROW. Despite this specialized approach, a very high percentage of patients report that they have not been trained (at least cannot remember being trained) in a wide range of essential injection topics. Only about 30% of Indian injectors get their sites checked at least annually, with nearly a third only having sites checked when they specifically complained and nearly 4 out of 10 never having had their sites checked.

conclusionIndian HCPs can clearly do a better job covering all the vital topics essential to proper injection habits.

Indexed as

InfusionsInjectionsInsulinLipodystrophyLipohypertrophyNeedlesNeedlestickSubcutaneous

Identifiers

PMID28289892
PMCPMC5446373
OpenAlexW2595281327

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.