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. 2020 Feb 28;16(1):41–48. doi: 10.17925/EE.2020.16.1.41

Table 6: Insulin injection-related factors influencing the frequency of hypoglycaemia and hyperglycaemia.

Variables Category N=847 % with hypoglycaemia (n=311) p* % with hyperglycaemia (n=571) p*
Duration of insulin treatment (years) <5 (n=582) 66.6 0.318 63.9 ¾0.001
>5 (n=265) 33.4 36.1
HbAlc (%) <7 (n=45) 5.8 1.000 4.3 0.008
>7 (n=713) 94.2 95.7
Diabetic complication(s) Absent (n=395) 40.8 0.010 44.7 0.106
Present (n=452) 59.2 55.3
Number of injections/day <2 (n=606) 70.4 0.581 71.3 0.871
>2 (n=241) 29.6 28.7
Total daily dose of insulin (IU) <50 (n=621) 72.7 0.748 70.2 0.004
>50 (n=226) 27.3 29.1
Insulin device Syringe (n=577) 70.1 0.360 70.9 0.015
Pen (n=270) 29.9 29.1
Needle length (mm) <6 (n=461) 55.0 0.830 45.0 <0.001
>6 (n=380) 45.0 55.0
Main Injection site Abdomen (n=539) 57.9 0.009 62.0 0.170
Others (n=308) 42.1 38.0
Rotate injection site(s) No (n=131) 16.7 0.490 15.6 0.920
Yes (n=716) 83.3 84.4
Inject into a skinfold Yes (n=760) 91.3 0.291 89.0 0.335
No (n=87) 8.7 11.0
Angle of needle entry 90 degrees (n=547) 61.1 0.118 62.3 0.055
Other than 90 degrees (n=300) 38.9 37.7
Needle reuse No (n=11) 1.9 0.225 1.1 0.351
Yes (n=836) 98.1 98.9
Number of times needles reused <10 (n=496) 56.4 0.214 56.3 0.011
>10 (n=340) 43.6 43.7
LH Absent (n=769) 88.4 0.084 89.0 0.008
Present (n=78) 11.6 11.0
Injects into LH (n=78) No (n=48) 52.8 0.166 55.6 0.037
Yes (n=30) 47.2 44.4
Skip injection(s) Yes (n=466) 69.5 <0.001 65.3 <0.001
No (n=381) 30.5 34.7
Education on injection technique Yes (n=780) 96.8 <0.001 92.6 0.416
No (n=67) 3.2 7.4
Education provider Doctors (n=537) 59.8 ≤0.001 64.5 <0.001
Others (n=242) 40.2 35.5
SMBG frequency At least 1/day (n=73) 10.6 7.9
At least 1/week (n=354) 42.4 0.223 42.6 0.509
Never (n=420) 46.9 49.6

*p-value comparing the column proportions by Chi-square test.

HbA1c = glycated haemoglobin; LH = lipohypertrophy; SMBG= self-monitoring of blood glucose.