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18. Frequency and Risk Factors of Lipohypertrophy in Insulin Treated Patients with Diabetes: An Experience from a Tertiary Care Center in Multan
Mehwish Saeed1, Wasif Aslam2, Muddasar Ahmad2, Muhammad Nadeem Sohail1, Aliya Akhtar3 and Hammad Zafar4
ABSTRACT
Objective: The present study aimed to evaluate the frequency and risk factors of lipohypertrophy in insulin treated patients in a tertiary care center in Multan.
Study Design: cross sectional descriptive study
Place and Duration of Study: This study was conducted at the Diabetic Outdoor of Nishtar Hospital, Multan between 1st January 2022 to 31st June 2022.
Materials and Methods: We included 360 patients, taking insulin for more than one year in our study. The patients were interviewed about insulin injection habits and the injection sites examined according to a preformed questionnaire.
Results: We included 360 patients with diabetes mellitus who used insulin for more than one year. The frequency of lipohypertrophy was 43.6%. Mean duration of diabetes and mean duration of insulin use were 14.68±7.62 years and 8.45±6.1 years, respectively. Longer disease duration, longer insulin use, higher doses, use of ice cold insulin and lack of rotation of injection site were the major risk factors of lipohypertrophy.
Conclusion: Lipohypertrophy is a common complication of insulin use related largely to improper injection technique. Patient education and frequent examination of the injection site can help prevent lipohypertrophy.
Key Words: Diabetes mellitus, insulin, lipohypertrophhy, injection site.
Citation of article: Saeed M, Aslam W, Ahmad M, Sohail MN, Akhtar A, Zafar H. Frequency and Risk Factors of Lipohypertrophy in Insulin Treated Patients with Diabetes: An Experience from a Tertiary Care Center in Multan. Med Forum 2022;33(8):78-82.