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For insulin to be properly absorbed, it should be injected into the subcutaneous tissue or 'fatty layer' above the muscle. A shorter needle may help prevent intramuscular injections (injecting into the muscle). This is especially true for thin adults, children and people who do not pinch up the skin when injecting. The short needle may decrease pain during an injection.
All children with diabetes, and normal weight adults who inject insulin, would benefit from using shorter needles. As well, people who do not pinch up would find shorter needles helpful.
A Canadian study found that shorter needles may not be the best choice for people who are overweight (Body Mass Index [BMI] of more than 27). Some people in the study had elevations of their blood sugar when they switched to an 8 mm needle. They tended to have more leakage of insulin out of the injection site.
An overweight person who wants to use a shorter needle should be carefully followed for signs of change in blood sugar control.
Articles in the Diabetes section of Family Health OnLine are sponsored by:
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