* Children from 2 to 6 years old, extremely lean adults or people with loose skin may need to use a pinch-up technique.
† Users must avoid placing their fingers on either end of the pen needle shields.
Gibney MA, Arce CH, Byron KJ, Hirsch LJ. Skin and subcutaneous adipose layer thickness in adults with diabetes at sites used for insulin injections: implications for needle length recommendations. Curr Med Res Opin. 2010;26(6):1519-1530.
Frid A, Hirsch L, Gaspar R, et. al. New injection recommendations for patients with diabetes. Diabetes Metab. 2010;36 Suppl 2:S3-S18.
Karges B, Boehm BO, Karges W. Early hypoglycemia after accidental intramuscular injection of insulin glargine. Diabet Med. 2005;22(10):1444-1445.
Aronson R, Gibney MA, Oza K, Bérubé J, Kassler-Taub K, Hirsch L. Insulin pen needles: effects of extra-thin wall needle technology on preference, confidence and other patient ratings. Clin Ther. 2013;35(7):923-933.
Occupational Safety and Health Administration. Bloodborne pathogens. 29 CFR §1910.1030.