Lipoatrophy is less likely to occur in people using only human insulin. The best places to inject insulin are the upper arms, the thighs, the buttocks, and the abdomen at least two inches away from the navel. Because the rates of absorption vary considerably from one body region to another, the American Diabetes Association ADA currently recommends rotating injection sites within body regions rather than rotating to a different region with each injection.
Insulin is absorbed fastest from the abdomen, followed by the arms, the thighs, and the buttocks. However, exercising an arm or leg after an injection can increase blood flow and speed insulin absorption from those areas. The ADA recommends taking this variability into account when choosing injection sites. There are many ways to rotate and various assistive devices you can use. You first select your injection area which needs to have an adequate layer of fat; for example the abdomen, the thighs and the buttocks.
Please remember that it is best to adhere to one scheme. In cooperation with people affected by diabetes, our specialists have developed site rotation schemes for the generally favored injection areas: the abdomen and the thighs. If you operate with long and short acting insulin, you can combine these injection areas perfectly.
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If you use the same small area many times, the fat tissue below the skin sometimes swells, a condition called lipohypertrophy. This creates large bumps that absorb insulin poorly. These bumps and scar tissue will disappear if the area is left alone for a while, usually two to three months. To avoid these problems, alternate a few different sites for insulin injection.
At each clinic visit, a member of the diabetes team will look at the injection areas to help you select a site and prevent lumps or bumps.
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