If you don’t change your needle even after one time, you are chancing getting an infection. The point touches the skin when it’s pierced and can pick up germs. These will remain on the lancet. These can now infect your dermis, subcu level or even get into your blood. A diabetic with an infection isn’t a pretty picture. Also, people with medical conditions (like diabetes) should even be more concerened than others, that they are within their ideal weight range.
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