Abstract
Insulin therapy is crucial for diabetes management but requires patients to have sound knowledge of insulin handling. Safe practices include correct storage, accurate administration, site rotation, and safe disposal. Poor practices may lead to serious complications like hypoglycemia, hyperglycemia, and infections. Aim & Objective: This audit aimed to assess the understanding and practices regarding insulin handling among diabetic patients attending the OPD at Social Security Hospital Shahdara. It also evaluated patients' knowledge about storage, administration techniques, and their improvement after educational interventions. Methodology: A questionnaire containing 20 questions was administered to 50 diabetic patients. Data was collected both qualitatively and quantitatively. Quantitative data was analyzed using Microsoft Excel, while qualitative responses were reviewed by two independent researchers. Results: The average participant age was 50.2 years, all with Type II Diabetes. Among them, 36% had diabetes for over 10 years. Only 38% were aware of insulin side effects, while 98% knew about correct storage. Hypoglycemia was reported by 24% in the past 6 months. Blood sugar monitoring was inconsistent, with only 16% checking levels before every insulin dose. Regarding injection practices, 54% cleaned the site before use, 70% used the correct 90° angle, and all participants avoided syringe sharing and practiced site rotation. Conclusion: The audit identified strong awareness of insulin storage and syringe safety but highlighted gaps in knowledge about insulin side effects, regular glucose monitoring, and proper injection site hygiene. These findings stress the need for continuous patient education and regular reinforcement to enhance safe insulin use and improve diabetes outcomes.