ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2017
A Randomized Controlled Trial to Assess the Impact of Proper Insulin Injection Technique Training on Glycemic Control.
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 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Pen Needle Reuse in People with Diabetes Who Inject Insulin: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026Review
- Insulin Pen Needle Reuse in U.S. Adults with Diabetes: A Cross-Sectional Survey Study on Patterns, Motivations, and Educational Implications.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026Article
- Assessment of insulin pen injection practices and the effectiveness of pharmacist interventions in improving injection technique among patients with diabetes mellitus.Exploratory research in clinical and social pharmacy · 2025Article
- The power of insulin education: enhancing pain and treatment perception in adult type 2 diabetes patients.Journal of diabetes and metabolic disorders · 2025Article
- The Distinct Ultrasound Characteristics and Prognostic Features of Insulin-Induced Lipohypertrophy: A Systematic Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Review
- Predictors of limited knowledge in insulin injection techniques among non-specialty nurses in Japan.SAGE open medicine · 2025Article
- Assessing Barriers and Adherence to Insulin Injection Technique in People With Diabetes: Development and Validation of New Assessment Tools.Journal of diabetes science and technology · 2024Article
- Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023Article
- Optimising Insulin Injection Techniques to Improve Diabetes Outcomes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023Review
- Insulin injection knowledge, attitude and behaviour of nurses: A cross-sectional study in Guangdong Province.Nursing open · 2023Article
- Needle Technology for Insulin Administration: A Century of Innovation.Journal of diabetes science and technology · 2023Review
- Practical Guidance for Healthcare Providers on Collaborating with People with Type 2 Diabetes: Advancing Treatment and Initiating Injectable Therapy.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023Article
- Investigation of Association Between Insulin Injection Technique and Blood Glucose Control in Patients with Type 2 Diabetes.International journal of endocrinology and metabolism · 2022Article
- Insulin Injection Knowledge, Attitudes, and Practices of Nurses in China: A Cross-Sectional Nationwide Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021Article
- Injection Technique: Development of a Novel Questionnaire and User Guide.Diabetes spectrum : a publication of the American Diabetes Association · 2021Article
- Injection Technique Education in Patients with Diabetes Injecting Insulin into Areas of Lipohypertrophy: A Randomized Controlled Trial.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021Article
- The Current Situation Regarding Long-Acting Insulin Analogues Including Biosimilars Among African, Asian, European, and South American Countries; Findings and Implications for the Future.Frontiers in public health · 2021Article
- Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020Article
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4 authors.
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Abstract
introductionImproper injection technique can negatively affect glycemic control and treatment tolerability. We assessed the impact of structured insulin injection training on glycemic control.
methodsWe compared changes in glycated hemoglobin (A1C) and fasting plasma glucose following structured insulin injection training in a 6-month pilot study in patients with type 1 or 2 diabetes. Patients were recruited from mobile clinics in Moscow, Russia, and randomized into three groups. Groups 1 and 2 received structured injection training, and group 3 did not. Group 1 received 4-mm needles sufficient for each injection; groups 2 and 3 provided their own needle supply. Changes in insulin total daily dose (TDD), injection technique, needle reuse, and lipohypertrophy (LH) were assessed.
resultsOf 120 patients enrolled, 116 were included in all analyses (group 1, n = 43; group 2, n = 35; group 3, n = 38). At 6 months, mean [95% CI] reductions in A1C were significant in groups 1 and 2 (- 1.00% [10.9 mmol/mol (- 1.3 to - 0.6)] and - 1.00% [10.9 mmol/mol (- 1.4 to - 0.7)], respectively; P < 0.001 for both), but not in group 3 (- 0.02% [0.2 mmol/mol (- 1.2 to 1.6)]). Increases in insulin TDD, however, were similar and significant across groups (approximately 6 IU; P < 0.05). Injection technique improved, and needle reuse and LH declined in groups 1 and 2, but not in group 3.
conclusionsLittle is known about the glycemic impact of insulin injection training. We found that structured training and the use of short pen needles can improve injection technique, leading to significant A1C reductions and decreased rates of LH.
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