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New Delhi: The Indian Council of Medical Research (ICMR) has issued a set of fresh guidelines for Type 1 Diabetes management, including insulin storage and mixing, and directions for needle and injection sites.
“All children and adults with type 1 diabetes (T1DM) require insulin as soon as they are diagnosed and continuously thereafter throughout life,” the medical body said in Wednesday’s updated guidelines.
ICMR guidelines for storage of insulin
Once opened, the insulin vial can be kept at room temperature for up to a month in cooler climates. In hotter climates, insulin can be stored in the refrigerator shelf. At room temperature – 25 degree Celsius – insulin will lose less than one per cent of its potency over a month, while at higher temperatures there will be a greater loss of potency, Hindustan Times reported.
Four to six millimetres is the length of needles recommended by ICMR for injecting insulin in most children and adults. The insulin should be injected at an angle of 45 to 60 degrees instead of 90 degrees to avoid the risk of intramuscular injection.
Guidelines on insulin injection site
In general, the same region should be used for injection at different times of the day. However, the exact sites should be changed daily by moving 0.5-1.0 inch from the previous site, the report added.
Regular and NPH (Neutral Protamine Hagedorn) insulin can be mixed for use in a syringe (split-mixed regimen). For this purpose, regular insulin should be drawn first followed by NPH insulin.
In India, human regular and NPH insulin are available in strengths of 40 units/ml and 100 units/ml in vials. All insulin (regular, NPH, analogs) in pen cartridges have a strength of 100 units/ml.
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