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Does the patient know how to inject correctly using their device?
Please inspect all injection sites being used currently. If injection sites are lumpy advise patient to avoid this area.
Injection site rotation should be reinforced.
Check if the patient using the correct pen needle size for their body size?
Pen needle size above 6mm is no longer necessary for all adults. 4mm & 5mm should meet all needs for adults. NHSGGC Preferred choices of insulin pen needles noted below:
1. Omnican Fine® pen needles (4mm, 6mm)
2. GlucoRx Finepoint® pen needles (4mm, 5mm, 6mm)