Comparison of Patient's Preference, Pain Perception, and Usability between Micro Fine plus® 31-Gauge Needle and Microtapered NanoPass® 33-Gauge Needle for Insulin Therapy

Miyakoshi, Masashi; Kamoi, Kyuzi; Iwanaga, Midori; Hoshiyama, Ayako; Yamada, Ayako

doi:10.1177/193229680700100516

Cited by 23 publications

(21 citation statements)

References 9 publications

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“…Insulin pens, on the other hand, are more socially acceptable, portable, have a larger scale which simplifies dosages, and offer an audible “click” with each unit that overcomes many visual problems. 20 In our study, 86% reported hearing the click with each insulin pen use. Insulin pens are perceived as less painful when compared to a conventional vial/syringe.…”

Section: Discussionmentioning

confidence: 55%

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon

Ramadan¹,

Khreis²,

Kabbara³

2015

PPA

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BackgroundThe aim of the study was to evaluate the simplicity, safety, patients’ preference, and convenience of the administration of insulin using the pen device versus the conventional vial/syringe in patients with diabetes.MethodsThis observational study was conducted in multiple community pharmacies in Lebanon. The investigators interviewed patients with diabetes using an insulin pen or conventional vial/syringe. A total of 74 questionnaires were filled over a period of 6 months. Answers were entered into the Statistical Package for Social Sciences (SPSS) software and Excel spreadsheet. t-test, logistic regression analysis, and correlation analysis were used in order to analyze the results.ResultsA higher percentage of patients from the insulin pen users group (95.2%) found the method easy to use as compared to only 46.7% of the insulin conventional users group (P 0.001, relative risk [RR]: 2.041, 95% confidence interval [CI]: 1.178–3.535). Moreover, 61.9% and 26.7% of pen users and conventional users, respectively, could read the scale easily (P 0.037, RR 2.321, 95% CI: 0.940–5.731), while 85.7% of pen users found it more convenient shifting to pen and 86.7% of the conventional users would want to shift to pen if it had the same cost. Pain perception was statistically different between the groups. A much higher percentage (76.2%) of pen users showed no pain during injection compared to only 26.7% of conventional users (P 0.003, RR 2.857, 95% CI: 1.194–6.838).ConclusionThe insulin pen was significantly much easier to use and less painful than the conventional vial/syringe. Proper education on the methods of administration/storage and disposal of needles/syringes is needed in both groups.

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Section: Discussionmentioning

confidence: 55%

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon

Ramadan¹,

Khreis²,

Kabbara³

2015

PPA

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“…In the current study, the 3-and 5-bevel PN lengths and diameters did not differ-hence the failure of subjects to detect differences in pain, preference, and such in blinded testing is not surprising. Other open-label crossover studies conducted in Japan [16][17][18] have compared fine-gauge PNs in similar fashion as described earlier. 5 These trials have found small, inconsistent differences or noninferiority between the BD 31 G × 5 mm, Terumo 33 G × 5 mm tapered tip, and Novo Nordisk 32 G tip × 6 mm PNs.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Modified Needle Tip Geometry on Penetration Force as Well as Acceptability, Preference, and Perceived Pain in Subjects with Diabetes

Hirsch

Gibney

Bérubé

et al. 2012

J Diabetes Sci Technol

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“…48 Finally, Japanese patients found less pain and bruising using a 33-gauge needle in a crossover study with a 31-gauge comparator needle. 49 One small study of 12 patients in Germany 50 was unable to document a difference between 27-and 28-gauge needles, although the study was underpowered.…”

Section: Aronsonmentioning

confidence: 99%

The Role of Comfort and Discomfort in Insulin Therapy

Aronson

2012

Diabetes Technology & Therapeutics

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Despite the recognized importance of optimal insulin therapy, patient adherence to insulin therapy is an ongoing clinical care challenge. Insulin omission continues to be frequent and underestimated and has been correlated with poorer glycemic control and increased rates of diabetes-related complications. Insulin users consistently indentify multiple factors that contribute to insulin injection-related anxiety and to non-adherence. Injection-related discomfort continues to bear a significant contribution. Over the last decade, with advances in needle manufacturing technology, shorter and narrower needles have been associated with progressively improving patient self-rating of injection discomfort. Consequently, patient surveys of insulin users show discomfort to rank in the bottom third of significant contributors by prevalence. However, healthcare providers (HCP) and family member care providers continue to demonstrate a high level of anticipated and perceived pain for the patient. HCP anxiety and pain anticipation are each associated with patient anxiety and may therefore play a significant contributing role in patient non-adherence.

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Comparison of Patient's Preference, Pain Perception, and Usability between Micro Fine plus® 31-Gauge Needle and Microtapered NanoPass® 33-Gauge Needle for Insulin Therapy

Cited by 23 publications

References 9 publications

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon

Impact of a Modified Needle Tip Geometry on Penetration Force as Well as Acceptability, Preference, and Perceived Pain in Subjects with Diabetes

The Role of Comfort and Discomfort in Insulin Therapy

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Comparison of Patient's Preference, Pain Perception, and Usability between Micro Fine plus® 31-Gauge Needle and Microtapered NanoPass® 33-Gauge Needle for Insulin Therapy

Cited by 23 publications

References 9 publications

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in&nbsp;patients with type 1 and type 2 diabetes mellitus in Lebanon

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in&nbsp;patients with type 1 and type 2 diabetes mellitus in Lebanon

Impact of a Modified Needle Tip Geometry on Penetration Force as Well as Acceptability, Preference, and Perceived Pain in Subjects with Diabetes

The Role of Comfort and Discomfort in Insulin Therapy

Contact Info

Product

Resources

About

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon

Simplicity, safety, and acceptability of insulin pen use versus the conventional vial/syringe device in patients with type 1 and type 2 diabetes mellitus in Lebanon