Insulin pen
An insulin pen is used to inject insulin for the treatment of diabetes. It is composed of an insulin cartridge (integrated or bought separately) and a dial to measure the dose, and is used with disposable Pen needles to deliver the dose.
Types of pens
A number of companies make insulin pens including Novo Nordisk, Aventis, Eli Lilly and pendiq[1]. These companies produce pens for most of their insulins, including NovoLog/NovoRapid, Humalog, Levemir and Lantus. pendiq does not produce insulin and the pendiq-pen can work with most of the common insulin cartridges[2].
There are two pen systems: durable and prefilled:
- A durable pen uses a replaceable insulin cartridge. When the insulin cartridge is empty, the empty cartridge is disposed of and a new one is inserted in the pen.
- A prefilled pen is entirely disposable. The pen comes pre-filled with insulin, and when the insulin cartridge or reservoir is empty, the entire unit is discarded.
Most brands of insulin are now available for use in pens, these include:
- NovoLog, NovoRapid and Levemir by Novo Nordisk
- Lantus and Apidra by Sanofi-Aventis
- Humulin and Humalog by Eli Lilly and Company
Use
Insulin pens are used by 90% to 95% of insulin-treated patients in Europe, Asia, and Scandinavia with excellent results.[3] They are currently underutilized but growing in use in the United States.
Insulin pens offer several significant advantages over insulin syringes: ease of handling, accuracy, and more discreet to use.
To use a pen:
- Screw or click on a new pen needle
- If necessary, prime the pen to remove any air from the needle
- Turn the knob on the end of the pen (or "dial") to the number of units needed
- Insert the needle into the skin
- Press the button on the end of the pen to deliver the dose
- Count to five
- Remove
Advantages
Insulin pens have a number of advantages:
- More convenient and easier to transport than traditional vial and syringe
- Repeatedly more accurate dosages - the pendiq allows steps of 0.1U[4]
- Easier to use for those with visual or fine motor skills impairments
- Less injection pain (as polished and coated needles are not dulled by insertion into a vial of insulin before a second insertion into the skin)
- A memory of 195 injections (approx. 60 days) in case of the pendiq[5]
It is important that proper injection sites on the body are used. A healthcare provider helps determine the best injection site for a patient. In general, recommended injection sites include the abdomen, parts of the buttocks and thigh areas.[6]
Disadvantages
Unlike with the traditional syringe, two different insulins cannot be mixed by the user in an insulin pen.[7] On the other hand, some of the newest types of insulin cannot be mixed at all. In addition, using pens and pen needles is usually more expensive than using the traditional vial and syringe method; insurance coverage for insulin pens in the United States may vary widely.
References
- ^ pendiq website
- ^ pendiq website - features
- ^ Taking Control of Your Diabetes: Education, Motivation, Self-Advocacy by Steven V. Edelman, MD and Friends
- ^ pendiq website - technical data
- ^ pendiq website - technical data
- ^ Injection Techniques & Tips
- ^ Diabetes Insulin Pen