Un nouveau système d'injection d'insuline « Daily Dose » : pour quel usage ?

Insulin injection has been greatly facilitated by the use of insulin pens and insulin pumps. This was also achieved through the new insulin analogues, long- and fast-acting, and the use of pens, which remains a very important step to facilitate the development of multiple daily injections. This has also contributed to the autonomy of patients increasingly mobile while being better controlled in terms of blood glucose. Daily Dose, is an injection system, very small syringes (30 Units maximum) up to three per case, which can be prefilled by the patient or a third party, for one day or more. This system can provide the opportunity to reduce dependency, should be easier to use and more precise than a pen to some home supported patients. This should improve autonomy and reduce health costs. Some other more specific indications are possible: diabetic patients in nursing homes for the elderlies, patients with neurologic disabilities, small children who are temporarily away from home. Future studies should explore all these indications, in particular with regard to the feasibility, quality of life of patients and the reality of reduced health expenditure in type 2 diabetic patients for which many injections are performed by private nurses. Possible uses of Daily Dose, considered in this article, will necessarily be explored and validated by appropriate studies.