Insertion site rotation

Rotating your sites

Rotate infusion set and sensor sites to keep your tissue healthy. Lumps or hardened areas are caused by injecting insulin into the same site over time – if you have lumpy or hard areas, choose a softer site and avoid the previous site for about one month or you may experience poor insulin absorption.¹ Talk to your healthcare professional to discuss possible alternative site locations.

Choose insertion sites and remember to rotate using these two methods:

Visualize an imaginary clock drawn on your belly button. Rotate sites by starting at the 12 o’clock position and then rotating clockwise to 3, 6 o’clock, and so on.

Imagine a capital M or W drawn on your body. Use each point of the letter as a possible insertion site.

1. Thethi TK, Rao A, Kawji H, et al. Consequences of delayed pump infusion line change in patients with type 1 diabetes mellitus treated with continuous subcutaneous insulin infusion. Journal of Diabetes and Its Complications. March 2010 (Vol. 24, Issue 2, Pages 73-78).