Injection Guide

CONGRATULATIONS! On becoming an "Injection Locator" user.

You have purchased a device that has been researched and developed by diabetics for diabetics, and has been proven to be extremely useful in preventing tissue traumas brought on by repeated injections at the same site.

Some "experienced" diabetics will see this simple to use tool as "another gimmick". Our experience - over the last 15 years - convinced us, during the development of 16 prototypes, that the "Injection Locator" is a device that will avoid many complications associated with injecting of insulin.

The "Injection Locator" is a template flexible enough to conform to any area of your body. It is a tremendous help to you, as a diabetic, assisting you consistently and systematically to rotate the injection sites of your insulin injections.

The "Injection Locator" is made of a top quality material, permitting you to stipulate the exact choice of one of the many hundreds of injection sites with ease and rapidity.

Read this instruction guide and watch the video carefully before using your "Injection Locator" for the first time. We recommend that you "dry practice" using the template in different areas repeatedly, so you will become familiar with the whole system.

We are confident that you will find your "Injection Locator" a pleasure to work with for many years to come.

INTRODUCTION

Injecting insulin is easier than you think. You are not alone. Many millions of people throughout the world need to inject insulin every day, and in doing so have control over their diabetes and lead normal lives.

In principle, an injection site should be changed each and every time. A good rotation system should allow a minimum of 4 to 6 weeks before returning to a used site again. A new site must be at least 2.5 centimeters (one inch) away from a previously used injection site. By not following these simple rules seriously, a tissue trauma may occasionally occur. A change in the subcutaneous fat at the site of the injection, is called "lipoatrophy" which takes the appearance of a depression in the skin overlaying the muscle, and ranges from a dimple-like size to quite a large area.

Also "hypertrophy" another skin-tissue reaction which causes the skin to swell to a spongy consistency at and around an injection site. The injection site remains painless so the diabetic may be tempted to subject this area to repeated injections. However, the absorption and distribution of the injected insulin is slower and less complete at this site and the amount of the effective dose utilized is questionable.

Due to the uncertain efficiency of an insulin dose, diabetic patients are always advised, - by their doctor or health professional - to avoid hypertrophied sites until the affected area returns to a normal appearance and texture.

Both lipoatrophy and hypertrophy may occur simultaneously. To promote an even and steady absorption and distribution of the injected insulin throughout your body, doctors - diabetes educators - nurses and other health care professionals are advising you strongly to rotate you injection sites on a regular basis.

To use the available areas in the best possible way, you, as the user of the "Injection Locator" can follow the perfect system. You will know exactly where you placed your last injection.

Using the Injection Locator is simple and easy. A diabetic patient simply chooses which area of the body he or she wants to use for their injections (Upper Legs or Abdomen). If the patient has the assistance of someone else for their injections, other areas may also be used (Upper Arms, Lower Back and Buttocks).

Insulin injected into healthy so-called "sub-q" tissue is absorbed and distributed into the bloodstream at an even and steady rate. Sub-Q tissue is found in all parts of your body. The following areas are considered the best for insulin injections because they are away from joints, nerves and large blood vessels.

The front and the outside areas of the thighs.
The abdomen except the area around the navel.
The upper end outer areas of the arms.
The area just above the waist on the back
The buttocks.

The "Injection Locator" will give you, for areas A and B a minimum of 124 and a maximum of 186 different injection sites, and for areas C, D and E, a minimum of 114 and a maximum of 217 different injection sites. Making the grand total of a minimum 238 and a maximum of 403 different injection sites in all the available areas to you. This method is allowing the "Sub-Q" to a recovery time in excess of the minimum of 4 weeks, to fully heal from the injection trauma, and permitting you to start all over again in a tissue that is in a perfect, 100% healthy condition. Achieving the highest possible absorption and distribution of your injected insulin dose at an even and steady rate into the bloodstream.

USERS MANUAL FOR THE "INJECTION LOCATOR"

UPPER LEGS CAUTION: FOLLOW BLUE LINES!

While sitting down, place the template (Injection Locator) printed with the BLUE lines on the Left Upper Leg, (in such a way that you can read it)about 1/4 of the width of your upper leg away from the inside, with the top even with your bent knee. Use the navigator holes to mark down - with a felt pen - the semi-definite mark for the period. Important; for the first and all other injections use the same navigator marks.

Follow the BLUE line to the date of the month (Important; follow the dates of the month accurately) i.e. May 05 = location hole 5, for Dec. 19, location hole 19, if no 31 st day of the month skip location hole 31. Place with the felt pen your daily mark through the daily location hole of the specific date. Remove template (injection Locator) Pinch skin up, about 1centimeter (1/2 Inch) to the right of your daily location (left if you're left-handed) and proceed with your injection in the usual manner. After your injection, clean (with an alcohol swap), your daily location mark away,

DO NOT REMOVE your navigator marks (you will need them again for your next injection!).

When you arrive at the first day of the month (31 injections). Please, move to your right leg, place your semi-definite, and daily markings, and injection. See above.

When you arrive at the last day of the month on your right leg, there are two choices, if you have small legs you return to the left leg again (31 injections)

If you have large legs, continue on the right leg, and the same side of the template until you reach day 15 (15 injections). Then return to your left leg and go on from day 16 until the last day of the month (another 16 injections), there after move to the left leg and start all over again.

You have created for small legs 62 different injection sites, (2 months) and for large legs 93 different injection sites (3 months), before you start over again with injection site #1.

ABDOMEN CAUSION: FOLLOW RED LINES

While sitting down, place the template (Injection Locator) printed in RED on the LEFT ABDOMEN,(in such a way that you can read the numbering) Use the navigator holes to mark down - with a felt pen - the semi-definite mark for the period. Important; for the first and all other injections use the same navigator marks. (For one navigator mark you can use your navel). And proceed in the same manner as above.

USE OF NEW OR OTHER INJECTION AREA

Make sure, you never "coast" up and down from one area to another area. Because the absorption time may be different in the upper leg compared to the absorption time in your abdomen etc. (needing more or less insulin each time) Your "balancing act" becomes very difficult by doing that!

The Injection Locator (the template) is placed on the chosen area, (i.e. legs, abdomen, upper arms, lower back or buttocks). The patient then must select the appropriate date hole through which to place a mark with a felt-pen, herewith locating the site for their injection, this is as simple as knowing that days date. When this has been done remove the template and prepare your syringe as usual. The exact injection site is about one centimeter to the right of the pen-mark that you have made (one centimeter to the left if you're left-handed). Pinch the skin up and insert the needle into the tissue and discharge the insulin.

MULTIPLE INJECTIONS A DAY

In the case that the patient requires multiple injections per day, we suggest that you use multiple areas. Allowing the tissue at injection site enough time (4 to 6 weeks) to heal before the next injection in that area, permitting the patient to benefit from proper distribution of the injected insulin through the healthy tissues. Practicing this method seriously, the patient may over time, stabilize or even reduce the amount of insulin that he or she requires for daily injections due to better absorption and proper distribution of the already injected insulin.

One injection a day: (Self-Injecting Patients) (2 x 3 months turnaround)

Choose any of the Upper-leg areas Left or Right. (L or R) (Up to a max. of 93 sites)

Choose any of the Abdomen areas Left or Right. (L or R) (Up to a max. of 93 sites)

(Note 1: use the Upper-leg area or the Abdomen area (- 3 months turnaround -)

(Note 2: use the Upper-leg area after the Abdomen area ( - 6 months turnaround -)

Two injections a day : (Self-Injecting Patients) (3 months turnaround)

For the first injection use your Abdomen area (L or R) (Up to a max. of 93 sites)

For the second injection use your Upper -Leg area (L or R) (Up to a max. of 93 sites)

(Or Visa Versa)

Three injections a day: (Self-Injecting Patients) (2 months turnaround)

For the first injection use your Abdomen OR Upper-Leg area (L). 1 month (31 sites)

For the second injection use your Abdomen OR Upper-Leg area (R). 1 month (31 sites)

For the third injection use your Abdomen OR Upper-Leg area (L & R). 2 x 1/2 a month (31 sites)

Four injections a day: (Self-Injecting Patients) (6 weeks turnaround)

For the first injection use your Abdomen area (Left). 1 1/2 month (47 sites)

For the second injection use your Abdomen area (Right). 1 1/2 month (47 sites)

For the third injection use your Upper-Leg area (Left). 1 1/2 month (47 sites)

For the fourth injection use your Upper-Leg area (Right). 1 1/2 month (47 sites)

Five injections a day: (Self-Injecting Patients) (1 month turnaround)

For the first injection use your Abdomen (Left). 1 full month (31 sites)

For the second injection use your Abdomen (Right). 1 full month (31 sites)

For the third injection use your Upper-Leg area (Left). 1 full month (31 sites)

For the fourth injection use your Upper-Leg area (Right). 1 full month (31 sites)

For the fifth injection use your Upper-Leg area (L & R). 2 x1/2 a month (31 sites)

Six injections a day: (Self-Injecting Patients) (1 month turnaround)

For the first injection use your Abdomen (Left). 1 full month (31 sites)

For the second injection use your Abdomen (Right). 1 full month (31 sites)

For the third injection use your Abdomen (Left & Right). 2 x1/2 a month (31 sites)

For the fourth injection use your Upper-Leg area (Left). 1 full month (31 sites)

For the fifth injection use your Upper-Leg area (Right). 1 full month (31 sites)

For the sixth injection use your Upper-Leg area (L & R). 2 x1/2 a month (31 sites)

When the Diabetic Patient requires the assistance of some one else (Nurse or care giver) for the administration of the insulin the injection areas are increased from 2 x 2 (upper-legs & abdomen) to 2 x 5 injection areas, Upper Legs, Abdomen, Upper Arms, Lower Back and Buttocks. With the use of the Injection Locator the choice of injection sites is multiplied in such a way that it becomes an easy task for the health professional to avoid painful, and or tender (no tissue layer) or damaged areas (bedsores or operation incisions areas). The almost endless choice of injection sites (up to 403 injection sites) is especially valuable in home care or hospital settings because of the always-appearing staff changes.

Use of the Injection Locator allows the patient the freedom of a healthy lifestyle without the constant worry of remembering where they injected last, because this helpful and innovative tool does it for them, all the patient (or care giver) needs to remember; is the date and injection area!

"ONCE YOU USE IT YOU WON'T BELIEVE

YOU EVER INJECTED INSULIN WITHOUT IT"

The "Injection Locator"is developed by diabetics for diabetics. If questions arise, don't hesitate to ask your Physician, Nurse, or Diabetes Educator to explain the devise to you or:

Write to; Injection Locator, P.O.Box 531 Delta B.C. V4K 4J7

or; E-mail to; Info@InjectionLocator.com