Consensus Recommendations on Lipohypertrophy: Insights From an International Panel of Experts
Methodological detailsmodified Delphi methodology, international expert panel
- Modified Delphi methodology
- International expert panel
Recommendations
As issued by the authors
Inadequate injection site rotation identified as the strongest modifiable risk factor for lipohypertrophy
Systematic injection site examination every 6 months during the first 2 years of insulin therapy, then annually, with more frequent screening for high-risk people with diabetes (PwD)
Standardized examination protocols with visual inspection and systematic palpation; US reserved for detecting subclinical lipohypertrophy
Prevention: proper education, site rotation and single-use needle practices
Original publication
Consensus Recommendations on Lipohypertrophy: Insights From an International Panel of Experts. Diabetes Res Clin Pract. Published 3 July 2026. doi:10.
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