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From Simi Valley, California, USA:

My 5 year old daughter was diagnosed in December. How important is site rotation? She will only have injections in her stomach right now. Is it important to get her to go to other sites? Everything we read tells us to do site rotation, but she won't try another site.


There are theoretical advantages and disadvantages to rotating sites. For years, the recommendation was to try and rotate sites as much as possible to avoid developing hypertrophy (bumps) or atrophy (depressions) in the skin. In the past years it has been appreciated that insulin may be absorbed at different rates from different sites. Theoretically, limiting injections to different areas in similar sites (i.e., only the stomach or only the legs) may decrease day-to-day variations in blood sugar control.

In reality, if your child tries to avoid injecting every day into the exact same area, and you check the injection sites periodically, it probably doesn't pay to argue with your child where to give the injections.


i Original posting 29 Mar 97


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Last Updated: Tuesday April 06, 2010 15:08:54
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