Diabetes: Lipohypertrophy

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Dr. Samantha Sandler

Dr. Samantha Sandler

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Toronto, ON
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Dr. Loren Grossman

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If you repeatedly inject insulin in the same location on your body, fat and scar tissue can accumulate. Lipohypertrophy is an abnormal accumulation of fat underneath the surface of the skin. Stats show that up to 50 percent of people with type 1 diabetes experience lipohypertrophy at some point. Talk to your local endocrinologist about training and teaching. Seeing your local family physician for a referal to a endocrinologist and make an   appointment  with a local registered dietician for advise and information on lipohypertophy and diabetes. 

How to Find a Lipohypertrophy

To self-inspect for lipohypertrophies, think about the areas where you do your injections. One way is to stand in front of a mirror, use a hand cream or lotion and use two fingers to slowly press on the area where you usually do your injections. You may feel a difference in consistency from one area to the other – if it feels nice and soft in one area or a little bit thicker in the other, you’ve identified a lipohypertrophy. The second method is to stand in the shower, use some soap and go from an area where you don’t do your injections to an area where you do to feel if there’s any difference in consistencies. Next, consult with your diabetes healthcare team for lipohypertrophy treatment. Seeing your local family physician for a referal to a endocrinologist and make an  appointment  with a local registered dietician for advise and information on lipohypertophy and diabetes. 

How to Prevent Lipohypertrophy

To prevent lipohypertrophy, always rotate your sites and rotate within your sites. There’s a lot of space that you can use within each injection zone. Also, you want to make sure that you’re using a clean needle each time that you’re injecting. It can take a patient three to six months to recover from lipohypertrophy. If you do have lipohypertrophy, ensure it’s resolved before you start to use that site again.

If you jam your insulin injection into your tissue, you increase your risk of hitting muscle. You also then squish your fat or subcutaneous tissue, and that can affect the way that you are absorbing your insulin. Instead of jamming in your insulin injection, think about sliding it in as you would into butter. How you inject your insulin is as important as the insulin that you inject. So, it’s important to know the steps that should be properly followed. Seeing your local family physician for a referal to a endocrinologist and make an  appointment  with a local registered dietician for advise and information on lipohypertophy and diabetes. 

Talk to your endocrinologist if you’d like more information on lipohypertrophy. 

Visit HealthChoicesFirst.com for more videos and resources on diabetes.

Lipohypertophy occurs when an area of skin is used multiple times to inject insulin. The subcutaneous fat becomes thickened or ‘rubbery’ and can feel like a lump or bump to the touch. Lipohypertrophy can effect insulin absorption and can therefor have an impact on blood glucose control.Seeing your endocrinologist can often help with dealing with lipohpertrophy. Seeing your local family physician for a referal to a endocrinologist and make an   appointment  with a local registered dietician for advise and information on lipohypertophy and diabetes. 

The Endocrinologists featured are in good standing with the  Canadian Diabetes Association . and  the Canadian Medicial Association and the Royal College of Physicians and Surgeons.

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