Insulin pen injector for the treatment of type 1 diabetes mellitus

Abstract

Objective: the objective of this review was to evaluate the medical literature in the last ten years comparing the use of insulin pen injectors versus insulin syringes in children with type 1 diabetes. Sources: this is a review of literature in the last ten years based on Medline. Summary of the findings: the use of the insulin pen injector is disseminated all over the world. Most studies show that this method is more comfortable and makes patients' life easier. It is associated to better glycemic control, it is more easily accepted and is related to the reduction of hypoglycemic crisis. The use of the insulin pen injector provided better quality of life to this group of patients. Conclusions: the new technology produces different methods of insulin administration trying to improve the quality of life of diabetic patients and to reduce the risks of short term complications through the use of insulin pen injectors. The effects of this kind of insulin delivery with the aim of preventing chronic complications are not well established.

A Descriptive Study to Assess the Knowledge Regarding Self Administration of Insulin Injection among Diabetes Mellitus Patients in Diabetic Clinic of Primary Health Centre at Alnamas

“…This setting was selected because of the availability of participants and feasibility of conducting the study. Researcher's convenience and familiarity with settings were added reason [11][12][13][14][15].…”

Insulin delivery by injection in children and adolescents with diabetes

“…These features may help to improve the quality of life of people with diabetes, particularly in the paediatric setting (Table 1) (21). (4,5,13) Easier to use for those with visual or fine motor-skill impairments (17) Less injection-site pain (21) May be used discreetly in public (4, 21) Slim, lightweight, and 'stylish' design (17) Helps improve lifestyle flexibility (4,21) Improves quality of life (21) MDI, multiple daily injections.…”

“…An insulin pen for children should be suitable for small hands as children will be required to perform certain functions, including dialling the dose, checking the selected dose, pulling off the needle cap, pressing the injection button, and replacing the cap (21). The ability to self-inject insulin may depend on the size of the device, especially in small children; therefore, such a device should be relatively small, slim, and lightweight for portability, simplicity, and ease of handling.…”

Judicialização do direito à saúde: acesso ao tratamento de usuários com diabetes mellitus na cidade de Ribeirão Preto e região, de 2003 a 2013

“…As canetas injetoras de insulina surgiram em meados dos anos 80, representando um grande avanço na forma de aplicação de insulina, que até então era feito apenas por meio de seringas (LEE, et al, 2009;SELAM, 2010). Alguns estudos demonstram que, quando comparado com o método terapêutico anterior, o uso da caneta de insulina aparece relacionado a uma maior facilidade de manuseio, com uma maior discrição para o uso em locais públicos, além de fornecer uma maior precisão das doses e redução da dor no local de aplicação (MAIA, ARAÚJO, 2002;DAVIS et al, 2008;MCKAY, COMPION, LYTZEN, 2009;PEARSON, 2010).…”

“…Consequentemente, resulta em uma maior satisfação dos usuários que referem melhora na qualidade de vida (SELAM, 2010;PEARSON, 2010). Constituise um método prático e simples e por isso indicado a todo o tipo de doentes, sobretudo crianças, adolescentes (MAIA, ARAÚJO, 2002;LTEIF, SCHWENK, 1999) e doentes com déficit visual (WILLIAMS, SCHNARRENBERGER, 2010) Lei 11.347/ 2006(BRASIL, 2006. Dentre os materiais ofertados gratuitamente Destes, a maioria 17,5% (111) trata de materiais e insumos relacionados à aplicação da insulina através de múltiplas injeções diárias e 13,8% (88) de materiais e insumos relacionados à utilização de bomba de infusão contínua de insulina.…”