Diabetes in Dogs: The k9diabetes.com Forum
 

Go Back   Diabetes in Dogs: The k9diabetes.com Forum > Answers - Archive of helpful posts from the forum > Syringes and Injections

Syringes and Injections Posts from the Diabetes Forum about syringes and giving injections

Closed Thread
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-25-2008, 05:28 PM
k9diabetes's Avatar
k9diabetes k9diabetes is online now
Administrator
 
Join Date: Mar 2008
Location: Northern California
Posts: 11,179
Default Injection Tips

It is so difficult to explain injections!! Makes me wish I'd done a video of how we did Chris' shots.

Some helpful images and tutorials follow.

Where to Inject



From BD Diabetes for Dogs website: http://www.bddiabetes.com/us/main.aspx?cat=1&id=384

From the site's tutorial on giving injections, here's one way of making a tent:



They suggest a 45 degree angle on the syringe:



This is a pinch on the flank:



I'd say this flank picture looks pretty much like how I injected Chris along the ribs.


Last edited by We Hope; 06-19-2009 at 09:49 PM. Reason: fixing photo links
  #2  
Old 08-25-2008, 09:55 PM
k9diabetes's Avatar
k9diabetes k9diabetes is online now
Administrator
 
Join Date: Mar 2008
Location: Northern California
Posts: 11,179
Default Re: Injection tips and images

AlphaTrak's video (second part where injection is given): http://www.cat-dog-diabetes.com/vide..._the_dog_2.mpg

From: http://www.cat-dog-diabetes.com/dogs...in-therapy.asp



As he's pushing the plunger in, you get a somewhat better view of the syringe and the tent.

  #3  
Old 08-26-2008, 12:21 PM
k9diabetes's Avatar
k9diabetes k9diabetes is online now
Administrator
 
Join Date: Mar 2008
Location: Northern California
Posts: 11,179
Default Re: Injection tips and images

From the following site for humans: http://www.diabeteshealth.com/read/1999/02/01/1409.html

Quote:
If you've ever hit muscle with a needle, you know the pain. If you've ever injected the right dose of insulin and still found your blood sugar sky high, you might have injected too shallowly and hit skin.

Insulin injections that are too deep or too shallow can really foul up glucose levels. For most injections, the goal is to hit the layer of fat between the skin and the muscle.

Hitting this target involves knowing the thicknesses of your own body layers, whether to pinch up or not, and which needle length to use. The medical community is finding that injection techniques play a significant role in blood sugar control.
Quote:
Hitting the Fat
What's beneath the surface of your skin? The areas a needle can hit are as follows (also see Figure 1):
  • skin
  • subdermal layer (just underneath the skin)
  • fat
  • epimuscular space (just underneath the fat, on top of the muscle)
  • muscle
Very important note about where you're trying to get the insulin:

Quote:
Among all people with diabetes, however, the goal is to hit the fat layer.
  #4  
Old 06-18-2009, 05:03 PM
eyelostit's Avatar
eyelostit eyelostit is offline
Founding Member
 
Join Date: Mar 2008
Posts: 2,016
Default Injection Tips

Hi Ida,

When dx Niki got her injections in her scruff anywhere from the middle to the sides of the scruff area, she usually never flinched, I picked up her scruff area, made the tent and injected at a slight downward angle at top of tent, never thru the tent, I could feel the needle as it went thru the skin with no resistance and then injected. I think Baby would flinch if you hit a muscle as they do at times when they get a rabies shot or she may have flinched if needle went into skin area, let me find some pics or if I remember tonight I will get my mum to take the picture of my injection. Ok was able to save the picture from the BD link.
Its done the same way at top of scruff area, see how the needle is going in at an angle.

Hope this helps,
Dolly


__________________
Dolly & Niki passed 2010, 45 lb Border Collie Mix 8 yrs as diabetic, 13yrs old. Blind N 10.5 U 2 X * Dog is God spelled backwards*If there are no dogs in Heaven then when I die I want to go where they went. Niki's food Orijen & Turkey & Gr. Beans, See you at the bridge my beloved & cherished Niki, I miss you everyday
  #5  
Old 06-18-2009, 05:56 PM
We Hope's Avatar
We Hope We Hope is offline
Founding Moderator
 
Join Date: Mar 2008
Posts: 2,155
Default Injection Tips

Ida,

One thing for sure is you didn't hit a muscle. When insulin is injected into a muscle, it works much faster than it does when you inject it under the skin:

http://diabetesindogs.wikia.com/wiki/IM

"Intramuscular insulin injection is a technique used for both pets and people in an effort to hasten onset, compared to the usual technique of injecting subcutaneously. It's often referred to medically by the abbreviation IM.

"Because it carries with it a substantial risk of hypoglycemia, giving insulin intramuscularly should only be done with guidance from a medical professional."

http://www.bd.com/us/diabetes/page.a...t=7001&id=7395


There are other areas you can inject besides the scruff:

"Some veterinarians feel that the scruff is not the best place to inject because this area is prone to the formation of lumps under the skin, and because it is easier for the owner to mistakenly inject into muscle or skin. Any of these would interfere with proper insulin absorption. Other veterinarians feel that the scruff is acceptable as an injection site if the owner uses proper injection technique.

"Whichever injection sites you use, the key is to use proper pinch-up technique so that the needle goes into the fat layer below the skin - not into skin or muscle, and not through the pinch and out the other side, which just squirts insulin onto the pet's fur instead of into the pet.

"It is important to rotate injection sites, because constant use of the same spot will cause scarring, which will affect how well the insulin is absorbed."

Another reason some don't prefer using the scruff is because of the absorption from the area:

http://web.archive.org/web/200702081..._diabetes.html

Dr. Greco:

"Is the client rotating sites?

"Is the client injecting in the proper place? (Armpit or flank instead of in the scruff; the scruff is a poorly vascularized area with slow absorption.)"

When we went to Caninsulin/Vetsulin, I switched over to the Intervet suggested areas for shots:

http://www.vetsulin.com/vet/DosingOverview.aspx

"Using a U-40 insulin syringe, administer the injection subcutaneously, 2 to 5 cm (3/4 to 2 in) from the dorsal midline [spine], varying from behind the scapulae [shoulder blades] to the mid-lumbar [back] region and alternating sides."

In the morning, I would give Lucky's shot on one side, and in the evening on the other. I'd also vary the injection site by working my way up and down the areas above. This made sure I wasn't giving the shots in the same place all the time.

Because Lucky wouldn't let me either do a pinch or tent on his skin, my answer about whether I could see the needle would be different.



Correct way to give an injection when "tenting" the skin. This makes sure the insulin is injected into the skin flap created by "tenting" it. When the skin "tent" is released, the injected insulin is under it, or subcutaneous.

Does this picture help?

The next picture is the wrong way to give a shot:



Wrong way to give a shot: The needle has totally passed through the "tented skin". The insulin, or any other injected drug, will be injected into the air. Note that in this graphic, the injection point is much closer to the "pinch" area holding the "tent" up. In the correct graphic, the injection point is closer to the body.

HTH!

Kathy

Last edited by We Hope; 09-20-2009 at 09:44 AM. Reason: relinking to canine diabetes wiki
  #6  
Old 06-19-2009, 09:51 PM
We Hope's Avatar
We Hope We Hope is offline
Founding Moderator
 
Join Date: Mar 2008
Posts: 2,155
Default Re: Injection Tips

http://www.bd.com/us/diabetes/page.a...=7001&id=7433#

BD Diabetes Slide Show--How To Inject A Dog With Insulin
  #7  
Old 11-17-2010, 06:24 PM
Patty's Avatar
Patty Patty is offline
Senior Member and Moderator
 
Join Date: Nov 2008
Location: Central CO
Posts: 8,317
Default Re: New user, just diagnosed. Greetings.

Here's a pic of where I use on Ali's side



You can really use the area from behind the shoulder to the edge of the rib cage.

Patty
__________________
Patty and Ali 13.5yrs 47lbs diagnosed May '08 Ali earned her wings October 27, 2012, 4 months after diagnosis of a meningioma ~ Time is precious ~
  #8  
Old 11-17-2010, 07:06 PM
Patty's Avatar
Patty Patty is offline
Senior Member and Moderator
 
Join Date: Nov 2008
Location: Central CO
Posts: 8,317
Default Re: New user, just diagnosed. Greetings.

Andy,
Here's a good picture of the layers and angle you want to use for a subcutaneous injection. Injecting into muscle can potentially cause a much faster absorption of the insulin.

Patty
__________________
Patty and Ali 13.5yrs 47lbs diagnosed May '08 Ali earned her wings October 27, 2012, 4 months after diagnosis of a meningioma ~ Time is precious ~
Closed Thread

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -7. The time now is 12:10 AM.


Disclaimer -- The content on this site is provided for informational and educational purposes only. While we make every effort to present information that is accurate and reliable, the views expressed here are not meant to be a substitute for the advice provided by a licensed veterinarian. Please consult with your veterinarian for specific advice concerning the medical condition or treatment of your pet and before administering any medication or pursuing any course of treatment that you may read about on this site.

The views and opinions expressed by contributors to this forum are strictly their own and do not necessarily reflect the opinions and views of the owners, administrators, or moderators of this forum and the k9diabetes.com website.


Powered by vBulletin® Version 3.8.5
Copyright ©2000 - 2018, Jelsoft Enterprises Ltd.
Copyright 2009, 2010 k9diabetes.com. All rights reserved.