https://doi.org/10.4081/hls.2024.13065
Insulin injection rotation and Diabetes Mellitus nutritional management education
Published: 9 September 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The management of Diabetes Mellitus (DM) involves implementing a healthy lifestyle and pharmacological interventions through the administration of anti-hyperglycemia drugs. An essential aspect of treating DM patients is insulin administration, which facilitates glucose transportation into cells. This study evaluated the effectiveness of insulin injection rotation and nutritional management education for DM.
The literature search utilized the keywords "education,"AND "insulin injection," AND "nutritional management," AND "DM", ranged 2021-2023 Searches were conducted on various databases, including Proquest, NCBI, BMC, ScienceDirect, and other relevant platforms such as Google Scholar.
Ten journal articles pertinent to the subject matter were identified in the study. Findings indicate that nutritional education facilitates overall health improvement in individuals with DM, contributing to maintaining average body weight and near-normal blood glucose levels. It also enhances lipid profile and insulin receptor sensitivity while being a preventive measure against acute or chronic complications such as hyperglycemia. It is noted that selecting the appropriate injection site can significantly impact patients' blood glucose levels. While it is recommended to administer injections at consistent locations, repetitive use of the same site may pose risks of side effects, such as lipodystrophy.
After conducting a comprehensive review of ten journal articles, it has been concluded that insulin injection rotation and nutritional management education are effective for managing DM.
Setyawati AD, Ngo THL, Padila P, Andri J. Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING. 2020 Aug 26;1(1):26–31.
DOI: https://doi.org/10.31539/josing.v1i1.1149
Ministry of Health Republic of Indonesia. Basic Health Research. Jakarta: Ministry of Health Republic of Indonesia; 2018.
Perkeni. Management and Prevention of Type 2 Diabetes Mellitus in Indonesia. Jakarta: Indonesian Endocrinology Society; 2021.
Fujiwara Y, Eguchi S, Murayama H, Takahashi Y, Toda M, Imai K, Tsuda K. Relationship between diet/exercise and pharmacotherapy to enhance the GLP-1 levels in type 2 diabetes. Endocrinol Diabetes Metab. 2019 May 16;2(3):e00068.
DOI: https://doi.org/10.1002/edm2.68
Davies MJ, Aroda VR, Collins BS, Gabbay RA, Green J, Maruthur NM, et al. Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2022 Sep 28;45(11):2753–86.
DOI: https://doi.org/10.2337/dci22-0034
Nathan DM, Buse JB, Davidson MB, Ferrannini E, Holman RR, Sherwin R, Zinman B; American Diabetes Association; European Association for Study of Diabetes. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2009 Jan;32(1):193-203.
DOI: https://doi.org/10.2337/dc08-9025
Rasyid W, Nur BM, Irawati D, Rayasari F. Effectiveness of Insulin Injection Time on Blood Glucose Levels 2 Hours After Meals in Type 2 Diabetes Mellitus Patients. JKS. 2019 Apr 30;2(2):39–52.
DOI: https://doi.org/10.31539/jks.v2i2.502
Goyal R, Singhal M, Jialal I. Type 2 Diabetes. [Updated 2023 Jun 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513253/
Mehravar F, Mansournia MA, Holakouie-Naieni K, Nasli-Esfahani E, Mansournia N, Almasi-Hashiani A. Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes. Epidemiol Health. 2016 Jan 25;38:e2016004.
DOI: https://doi.org/10.4178/epih.e2016004
Thota S, Akbar A. Insulin. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560688/
Donnor T, Sarkar S. Insulin- Pharmacology, Therapeutic Regimens and Principles of Intensive Insulin Therapy. [Updated 2023 Feb 15]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278938/
Lukito JI. Use Insulin Carefully. CDK. 2020 Oct 1;47(10):734.
DOI: https://doi.org/10.55175/cdk.v47i10.1093
Syarfaini, Ibrahim IA, Syahrir S, Edar IW, Jusriani R, Adha AS, et al. The Effect of Nutrition Education on Knowledge and Self-Management in Type 2 Diabetes Mellitus Patients. Al GIZZAI: Public Health Nutrition Journal. 2023 Jan 16;33–42.
DOI: https://doi.org/10.24252/algizzai.v3i1.35008
Mehrabbeik A, Namiranian N, Azizi R, Aghaee Meybody M, Shariati M, Mahmoudi Kohani HA. Investigation of Association Between Insulin Injection Technique and Blood Glucose Control in Patients with Type 2 Diabetes. Int J Endocrinol Metab. 2022 Sep 7;20(4):e128392.
DOI: https://doi.org/10.5812/ijem-128392
Kadiyala P, Walton S, Sathyapalan T. Insulin induced lipodystrophy. British Journal of Diabetes. 2014 Nov 24;14(4):131–3.
DOI: https://doi.org/10.15277/bjdvd.2014.036
Reynolds A, Mitri J. Dietary Advice For Individuals with Diabetes. [Updated 2024 Apr 28]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279012/
Liang K, Xie Q, Nie J, Deng J. Study on the effect of education for insulin injection in diabetic patients with new simulation tools. Medicine. 2021 Apr 9;100(14):e25424.
DOI: https://doi.org/10.1097/MD.0000000000025424
Gortzi O, Dimopoulou M, Androutsos O, Vraka A, Gousia H, Bargiota A. Effectiveness of a Nutrition Education Program for Patients with Type 2 Diabetes Mellitus. Applied Sciences. 2024 Jan;14(5):2114.
DOI: https://doi.org/10.3390/app14052114
Kim J, Hur MH. The Effects of Dietary Education Interventions on Individuals with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Aug 10;18(16):8439.
DOI: https://doi.org/10.3390/ijerph18168439
Freeman AM, Acevedo LA, Pennings N. Insulin Resistance. [Updated 2023 Aug 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507839/
Kalra S, Pathan F, Kshanti IAM, Bay NQ, Nagase T, Oliveria T, et al. Optimising Insulin Injection Techniques to Improve Diabetes Outcomes. Diabetes Ther. 2023 Nov 1;14(11):1785–99.
DOI: https://doi.org/10.1007/s13300-023-01460-y
Zhang FY, Shen M, Sun LQ. Evaluation of clinical efficacy of continuous care with improved insulin injection techniques on patients with diabetes mellitus: a randomized controlled trial. J Int Med Res. 2022 Jun;50(6):3000605221108047.
DOI: https://doi.org/10.1177/03000605221108047
Chen L, Xing Q, Li J, Zhou J, Yuan Y, Wan Y, Pflug BK, Strauss KW, Hirsch LJ. Injection Technique Education in Patients with Diabetes Injecting Insulin into Areas of Lipohypertrophy: A Randomized Controlled Trial. Diabetes Ther. 2021 Mar;12(3):813-826.
DOI: https://doi.org/10.1007/s13300-021-01013-1
Klarskov CK, Hamid YH, Tjalk-Bøggild R, Tarnow L, Kristensen PL. A New Medical Device for Improved Rotation of Insulin Injections in Type 1 Diabetes Mellitus: A Proof-of-Concept Study. J Diabetes Sci Technol. 2021 Sep;15(5):1111–20.
DOI: https://doi.org/10.1177/1932296820950688
Abujbara M, Khreisat EA, Khader Y, Ajlouni KM. Effect of Insulin Injection Techniques on Glycemic Control Among Patients with Diabetes. Int J Gen Med. 2022 Dec 15;15:8593-8602.
DOI: https://doi.org/10.2147/IJGM.S393597
Louzolo-Kimbembe R, Jaafari F, Rafi S, Mghari G, EL ansari N. Insulin Injection A Non-Trivial Act with Sometimes Serious Consequences: Major Role of Therapeutic Education. SAS Journal of Medicine. 2021 Feb 21;7:47–9.
DOI: https://doi.org/10.36347/sasjm.2021.v07i02.005
Adhi IGAM, Dwiatmojo NF, Sukmadewi NLP, Ilmi N, Astuti F. Effectiveness of Rotation Scheme for Insulin Injection on Blood Sugar Control of Diabetes Mellitus Patients in the Polyclinic of North Lombok District Hospital. JISIP (Journal of Social Sciences and Education). 2023 Jun 7;7(2):830–6.
Bari B, Corbeil MA, MacNeill G, Puebla-Barragan S, Vasquez A. Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes. Diabetes Ther. 2023 Dec 1;14(12):2057–74.
DOI: https://doi.org/10.1007/s13300-023-01479-1
Nakrani MN, Wineland RH, Anjum F. Physiology, Glucose Metabolism. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560599/
Lukman L, Aguscik A, Agustin VA. Implementation Of Nutrition Management In Nursing Care For Type II Diabetes Mellitus With Nutrition Deficit Nursing Problems. Jurnal ’Aisyiyah Medika. 2023;8(1).
Pangaribuan GJ, Wahyu A. The Effect Of Diet Compliance Education On Blood Sugar Levels In Type Ii Diabetes Mellitus Patients In The 7th Floor Inpatient Care, Murni Teguh Hospital, Medan. 1. 2023 May 31;1(2):34–42.
DOI: https://doi.org/10.52221/asyjstn.v1i1.185
Sitorus F, Waruwu KNR, Tolnel RE, Bexty F. Knowledge and Compliance of Type 2 Diabetes Mellitus Patients with Diabetic Nutrition Management. Journal of Nursing Library, 2023;2(1):40-45.
DOI: https://doi.org/10.55382/jurnalpustakakeperawatan.v2i2.687
Momongan N, Paruntu O, Barangmanise S, Takahipe N. Diet Education With Booklet Media In Improving Diet Compliance And Blood Sugar Levels In Type II DM Patients. Gizido Journal. 30Nov.2021;13(1 May):24-2.
Isaksson SS, Bacos MB, Eliasson B, Adolfsson ET, Rawshani A, Lindblad U, et al. Effects of nutrition education using a food-based approach, carbohydrate counting or routine care in type 1 diabetes: 12 months prospective randomized trial. BMJ Open Diabetes Research and Care. 2021 Mar 1;9(1):e001971.
DOI: https://doi.org/10.1136/bmjdrc-2020-001971
Hashim SA, Mohd Yusof BN, Abu Saad H, Ismail S, Hamdy O, Mansour AA. Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus. Clin Nutr ESPEN. 2021 Oct;45:141-149.
DOI: https://doi.org/10.1016/j.clnesp.2021.07.024
Bross R, Genter P, Lu Y, Serpas L, Campa D, Ipp E. Barriers to Healthy Eating and Diabetes Diet Education: Divergent Perspectives of Patients and Their Providers. Health Education & Behavior. 2022;49(4):658-666.
DOI: https://doi.org/10.1177/10901981211052241
How to Cite
Narahaubun, I. R., Handayani, D., & Kristianto, H. (2024). Insulin injection rotation and Diabetes Mellitus nutritional management education. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13065
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