LWLIVING WITH T1D
Living With T1D/October 7, 2026/2 min read

Getting Insulin Injections Right: New Guidelines for Young People with Type 1 Diabetes

Experts from five countries have released updated recommendations on proper injection technique tailored specifically to children and young adults with type 1 diabetes. The new guidance covers both the physical skills and emotional support needed for successful insulin therapy.

PubMed indexed literature

Evidence label explains the kind of source behind this article (for example peer-reviewed literature vs community video). It is not medical advice.

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Key takeaways

  • Proper insulin injection technique improves how young people experience injections, helps with blood sugar management, and supports better health outcomes overall.
  • Children and teenagers need different education and support than adults because of their unique developmental, emotional, and psychological needs.
  • Good injection education should reach not just young people and their parents, but also teachers, daycare providers, and other caregivers in their daily lives.
  • Mental health matters: anxiety, depression, and diabetes-related stress are important parts of supporting youth with type 1 diabetes.

Why Injection Technique Matters for Young People

Insulin therapy is essential for managing type 1 diabetes in children and young adults. But it's not just about the medicine—how injections are given affects whether young people stick with their treatment, how well their blood sugar stays in target range, and their overall health.

A team of nine pediatric diabetes specialists from five countries reviewed the latest evidence and created updated recommendations specifically for young people. Their 'FITTER Forward Youth' guidelines build on adult-focused recommendations published in 2025, but address the unique needs of children, teens, and young adults.

What the New Recommendations Cover

The guidelines provide detailed information on starting insulin, proper injection technique, how to store insulin safely, different injection methods, and how to prevent and manage lipodystrophy—changes in the skin and fat tissue at injection sites that can happen when someone injects in the same spots repeatedly.

The recommendations also emphasize the importance of good education. Young people, their parents or guardians, and other caregivers—like teachers and daycare staff—all need clear, practical information about how to give injections correctly.

Supporting the Mental Health Side of Injections

Managing type 1 diabetes involves more than physical technique. The guidelines recognize that many young people and their families experience anxiety about injections, diabetes-related stress, and depressive symptoms.

The recommendations highlight that education and support should address both the how and the why of injections, helping young people understand their treatment while also addressing the emotional challenges they may face.

Making Recommendations Work Everywhere

The experts behind FITTER Forward Youth recognize that access to diabetes care varies widely depending on where families live and their financial resources. The guidelines were developed with this reality in mind, aiming to provide recommendations that can be adapted to different healthcare settings and communities around the world.

Evidence label

Source: Hormone research in paediatrics. Evidence type: PubMed indexed literature. Type1Cure is an information and intelligence hub, not a medical advice service. This article summarizes published research and does not provide diagnosis, treatment, or personal medical guidance. Always talk to your own care team before changing anything about your Type 1 diabetes management.

Type1Cure is an information and intelligence hub, not a medical advice service. This article summarizes published research and does not provide diagnosis, treatment, or personal medical guidance. Always talk to your own care team before changing anything about your Type 1 diabetes management.

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