The Impact of ROTO Track® in Helping Patients With Diabetes Rotate Their Insulin Injections Better

Both observational and interventional studies have reported that proper rotation of injection sites can be obtained through intensive injection technique training, education and follow up of patients. Furthermore, this has significant beneficial effects on daily glycaemic variations, hypoglycaemic events, long term blood glucose levels, and insulin dose requirements. This is however frequently not done appropriately in every day practice.

At a small workshop at Nordsjællands Hospital in November 2017 with patients with type 1 diabetes the value of a device to registrar time, dose and rotation of insulin injections were discussed. All patients considered their own injection patterns as satisfying - although only one in four used a systematic approach. Most patients relied on their healthcare provider to identify side effects like lipohypertrophy, half of the patients re-used needles more than once and two took injections through the clothes now and then. All subjects would prefer a simple and small device to be used with the pen for the lifetime of the pen to minimize time used for injections and attraction of attention from other people.

The hypothesis is that the ROTO track® can reduce the number of insulin injections in the same subcutaneous skin area as compared with standard insulin injection instructions in patients with type 1 diabetes. The reduction of injection in same skin area will be quantified by a rotation score

Inclusion criteria

• Written informed consent obtained before any trial related procedures are performed
• Male or female aged 18 years
• Type 1 diabetes with a duration of two or more years
• Treated with three or more daily pen injections of Novo Rapid™ in the abdominal region
• The subject must be willing and able to comply with trial protocol

Exclusion criteria

• Blind or severely impaired eyesight
• History of alcohol or drug abuse