Question:
From Summerville, South Carolina, USA:
My 11 year old daughter, diagnosed just 1 year ago with Type 1, recently
tried to switch to the short syringes. After about three days of use she
developed an injection site reaction. The area was red, swollen and about
the size of a half dollar. We discontinued use and returned to the regular
syringes. She would like to use the short needles but we worry about the
reaction. What could cause this and is there anything we can do to stop it?
Answer:
I wonder if your daughter's insulin did not go deep enough (perhaps the
needle was not in all the way) and whether she may have given the insulin
into the layers of the skin rather than into the fatty tissue. This would
raise a bump, usually clear but can have redness around it. Talk to your
diabetes team about whether to try using the short needles again, making sure
the needle is all the way in and not given at an angle.
The other possibility, less likely, would be an allergic reaction to
something in the insulin or the new syringe. If this redness happens again be
sure to let your doctor know about it.
I have found that most of my pediatric patients love the short needle
syringes, however a few patients have found them to be more painful or have
other problems such as insulin leakage.
LM
Original posting 4 Aug 97