Evidence map›Paper›PMID 32893337›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2020

Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study.

Basel Bari, Marie-Andrée Corbeil, Hena Farooqui, Stuart Menzies, Brian Pflug, Brennan K Smith, Arthur Vasquez, Lori Berard

Open access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Pen Needle Reuse in People with Diabetes Who Inject Insulin: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  2. Article
  3. Article
  4. Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  5. Article
  6. Needle Technology for Insulin Administration: A Century of Innovation.Journal of diabetes science and technology · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

8 authors at 4 institutions in 2 countries.

Basel BariMarkham HealthPlex Medical Centre, Markham, ON, Canada.
Marie-Andrée CorbeilHaut-Richelieu Medical Center, Saint-Jean-sur-Richelieu, QC, Canada.
Hena FarooquiMedical Division, CTC Communications, Mississauga, ON, Canada.
Stuart MenziesMedical Division, CTC Communications, Mississauga, ON, Canada.
Brian PflugBecton, Dickinson and Company, Franklin Lakes, NJ, USA.
Brennan K SmithMedical Division, CTC Communications, Mississauga, ON, Canada.
Arthur VasquezMarine Gateway Medical Clinic, Vancouver, BC, Canada.
Lori Berard, Winnipeg, MB, Canada. ldberard@gmail.com.
Communications Research Centre Canada · CABecton Dickinson (United States) · USCégep Saint-Jean-sur-Richelieu · CAManitoba Beekeepers' Association · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProper insulin injection technique has demonstrated positive clinical outcomes in patients with diabetes. A Canadian-based practice reflective was undertaken to evaluate the current state of understanding of injection technique practices by patients administering insulin, and the importance physicians place on proper injection technique.

methodsTwenty-four sites across Canada completed a practice profile survey and enrolled adult non-pregnant patients with either type 1 or type 2 diabetes injecting insulin using an insulin pen. Seven areas of proper injection technique to be evaluated were identified by the study steering committee: size of injection site, use of a skin lift, needle reuse, length of the needle, duration of the needle in the skin, injection into lipohypertrophic tissue, and applied injection force. During a scheduled visit, each patient filled out the Injection Technique Survey and the physician documented the answers via an electronic database.

resultsAlmost all physicians surveyed agreed (96%) that proper insulin injection technique is important or very important and 80% indicated they were either completely confident or fairly confident in discussing overall insulin injection technique. All patients surveyed were making at least one insulin injection technique error within the following categories: applied injection force (76%), area size of injection site (64%), duration of pen needle in skin (61%), pen needle reuse (39%), performs a skin lift with a 4 or 5 mm needle (38%), uses a longer pen needle than required (34%), and injection of insulin into lipohypertrophic tissue (37%).

conclusionPatients commonly make insulin injection errors. Patient and physician education on optimal insulin injection technique continues to be an unmet medical need for the treatment of patients with diabetes. Prospective trials examining the impact of new technology, diabetes educational teams, and e-learning as educational interventions are potential avenues to explore in future studies to support improved insulin injection technique.

Indexed as

Insulin injection techniquePatient educationType 1 diabetesType 2 diabetes

Identifiers

PMID32893337
PMCPMC7475025
OpenAlexW3083494942

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.