Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.