A Major Error in Insulin Injection Site

Abstract

Insulin therapy is frequently essential for people with type 2 diabetes to attain glycemic control. Nonetheless, it is becoming more apparent that individuals with diabetes at times disregard correct insulin injection techniques and commit errors that usually result in uncontrolled glycemia. Here, we report the case of an 81-year-old male presented with uncontrolled glycemia. A detailed examination revealed that he was administering insulin at the incorrect injection site, which in turn resulted in inaccuracy in the dosage of insulin delivered subcutaneously. The case highlights an array of factors such as age, patient’s ability to self-manage insulin administration, nonexistence of a caregiver, and the extended period between in-person visits that contributed to insulin injection errors and eventually uncontrolled glycemia.