Differences in depression, treatment satisfaction and injection behaviour in adults with type 1 diabetes and different degrees of lipohypertrophy

Abstract

Lipohypertrophy is more frequent in insulin pen users compared to pump users. Nurses should focus on injection technique education, and should also consider screening for depressive symptoms and treatment satisfaction as these factors could be associated with development of lipohypertrophy.

Prevalence of lipohypertrophy in insulin‐treated diabetes patients: A systematic review and meta‐analysis

“…Interrater reliability of reviewers regarding study relevancy was high (Kappa = 0.86). Nine studies took place in Asia, 14 in Europe, and one each in North America, Africa and a mix of different countries. The median of the mean ages was 46 years (range 6.5–63.8 years), and the median percentage of males represented in the sample was 50% (range 27.3–59.1%).…”

“…In addition, the median number of participants per study was 228 (range 54–4352), the median of mean disease duration was 10.0 years (range 2.8–17.0 years) and the median of mean insulin treatment duration was 9.3 years (range 3.0–15.0 years). When evaluated by the modified Newcastle–Ottawa quality assessment criteria, out of 5 possible points, one study received 5 points, seven studies received 4 points, 14 received 3 points, three received 2 points and one received 1 point.…”

“…Up to now, there is no unified method of visual inspection and palpation. Just three of the included studies described the methods further, and the methods referred to by Ji et al . are more preferable.…”

Dermatological Complications of Insulin Therapy in Children with Type 1 Diabetes: Cross-Sectional Study

“…Развитие липогипертрофий на фоне помповой инсулинотерапии ранее выявляли в 20-50% случаев [4,11,27]. Ряд исследователей считает, что при использовании инсулиновых помп липогипертрофии формируются реже, чем при выполнении инъекций с помощью шприц-ручек [28]. Подобная закономерность была отмечена и в нашей работе: липогипертрофии при использовании инсулиновых помп регистрировались в 5 раз реже (в 11% случаев), чем у больных, использующих шприц-ручки.…”

Analysis of the Incidence of Lipohypertrophy and Risk Factors in the Children with Type 1 Diabetes

“…Avrupa Birliği'nde yer alan ülkelerde, Tip 1 ve Tip 2 diyabetli bireylerin örneklemini oluşturan çalışmalarda diyabetli bireylerde LH sıklığı en çok karın bölgesinde saptanmıştır. 5,[19][20][21] Mısır'da Tip 1 diyabetli çocuklarda yapılan bir çalışmada ise çalışmamıza benzer şekilde, LH'nin %55,0 ile en çok kollarda geliştiği belirlenmiştir. 9 Ülkemizde diyabetli bireylerin en çok kol ve ardından karın bölgesini tercih etmelerinin nedeninin uygulamada kıyafet sıyırmada pratiklik sağladığı ve her tür ortamda rahat bir şekilde kullanabileceği için daha çok tercih ettikleri düşünülmektedir.…”