Comparison of ultrasound scanning and clinical examination for detecting insulin injection related Lipohypertrophy and construction of Lipohypertrophy classification table
Authors' conclusion
SVP is useful for detecting LH and deserves clinical promotion. The LH-LNT table constructed here effectively summarizes patient LH status, aiding doctor-nurse-patient communication.
Study context
- Population
- Hospitalized patients with diabetes, Tianjin tertiary hospital, December 2021 to November 2022
- Participants
- 395 patients
- Comparison
- US scanning vs structured visual palpation (SVP) vs ordinary visual palpation (OVP) for lipohypertrophy (LH) detection
- Outcome
- LH detection rate
Methodological detailssingle-centre
- Single-centre
Performance
As reported in the abstract
LH detection
LH detection
Site detection
Further findings
Misdiagnosis rate
- SVP had a lower misdiagnosis rate than OVP; upper arm and thighs common misdiagnosed sites
LH-LNT classification
- L1N2T1 (two soft LH on abdomen), main type
- 35.4%
- LH mostly in lower abdomen, flat, soft on palpation
Original publication
Comparison of ultrasound scanning and clinical examination for detecting insulin injection related Lipohypertrophy and construction of Lipohypertrophy classification table. Diabet Med. Published 27 October 2024. doi:10.
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