Document Detail


Needle with a novel attachment versus conventional screw-thread needles: a preference and usability test among adults with diabetes and impaired manual dexterity.
MedLine Citation:
PMID:  21406015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: NovoTwist(®) (Novo Nordisk A/S, Bagsværd, Denmark) is an insulin pen needle that features a novel attachment and detachment system. The aim of this test was to assess overall preference and handling of NovoTwist compared with conventional screw-thread needles in people with type 1 or type 2 diabetes.
METHODS: One hundred twenty adults with type 1 or type 2 diabetes and manual dexterity dysfunction who were currently self-injecting with an insulin pen were included in this open-label, randomized, crossover test. Participants were stratified according to the impact that manual dexterity problems had on their ability to inject insulin (1 = no effect at all; 4 = a lot), and those rated as 1 were excluded from subanalyses because of low numbers. Following instruction, participants attached the needle to Next Generation FlexPen(®) (Novo Nordisk A/S), made an injection into a foam cushion, and detached the needle; this process was repeated three times with NovoTwist and the participant's current screw-thread needle (or NovoFine(®) [Novo Nordisk A/S]) in a random order. Responses to questions on user experience with each needle were subsequently recorded on a 6-point rating scale (1 = very difficult; 6 = very easy).
RESULTS: Significantly more respondents had a preference for NovoTwist (79%) compared with the conventional screw-thread needles (21%, P < 0.001). Significantly more respondents preferred NovoTwist for both ease of attachment (80%, P < 0.001) and ease of detachment (74%, P < 0.001). Most respondents found NovoTwist the most appropriate needle for performing everyday injections (71%, P < 0.001).
CONCLUSIONS: Such preference by patients has a positive impact on the treatment of diabetes as NovoTwist may alleviate the burden of performing everyday injections through its ease of use.
Authors:
Birtha Hansen; Søren K Lilleøre; Gitte Ter-Borch
Related Documents :
17389595 - Hepatic overexpression of glycerol-sn-3-phosphate acyltransferase 1 in rats causes insu...
9487335 - Hypertriglyceridemia and insulin resistance.
10410575 - Glucosamine levels in people with ischaemic heart disease with and without type ii diab...
11742415 - New drug targets for type 2 diabetes and the metabolic syndrome.
10498765 - Low glucokinase activity and high rates of gluconeogenesis contribute to hyperglycemia ...
8751095 - Tissue plasminogen activator as a biochemical adjuvant in vitrectomy for proliferative ...
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2011-03-15
Journal Detail:
Title:  Diabetes technology & therapeutics     Volume:  13     ISSN:  1557-8593     ISO Abbreviation:  Diabetes Technol. Ther.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-28     Completed Date:  2011-08-24     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  100889084     Medline TA:  Diabetes Technol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  579-85     Citation Subset:  IM    
Affiliation:
Department of Medical Endocrinology, Aarhus University Hospital, Aarhus, Denmark. BH@KI.AU.DK
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Cross-Over Studies
Diabetes Mellitus / drug therapy*,  physiopathology,  psychology
Drug Delivery Systems / adverse effects,  instrumentation*,  psychology
Equipment Design / psychology
Female
Great Britain
Humans
Injections, Subcutaneous
Insulin / administration & dosage*,  therapeutic use
Italy
Male
Materials Testing
Middle Aged
Needles* / adverse effects
Patient Preference*
Self Administration / psychology
Self-Help Devices*
Chemical
Reg. No./Substance:
11061-68-0/Insulin
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The Effect of Liraglutide Added to U-500 Insulin in Patients with Type 2 Diabetes and High Insulin R...
Next Document:  A Chinese Diabetes Risk Score for Screening of Undiagnosed Diabetes and Abnormal Glucose Tolerance.