Introduction: Proper insulin injection technique has demonstrated positive clinical outcomes in patients with diabetes. A Canadianbased 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. Methods: Twenty-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 Digital Features To view digital features for this article go to