J Korean Diabetes > Volume 17(2); 2016 > Article
The Journal of Korean Diabetes 2016;17(2):106-111.
DOI: https://doi.org/10.4093/jkd.2016.17.2.106    Published online July 8, 2016.
인슐린 주사부위의 지방비대증 확인을 위한 점검표 개발
임경호, 김양희, 홍명희
Development of a Checklist for the Detection of Lipohypertrophy at Insulin Injection Sites.
Myeonghee Hong, Yanghee Kim, Kyungho Lim
1Department of Nursing, Inje University Seoul Paik Hospital, Seoul, Korea. nrshong@hanmail.net
2Department of Nursing, Inje University Haeundae Paik Hospital, Busan, Korea.
3Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
Abstract
Lipohypertrophy refers to the phenomenon of subcutaneous fatty tissue becoming either softer or firmer than normal so that it becomes thickened. The presence of lipohypertrophy is associated with not rotating injection sites correctly, injecting into the same sites repeatedly, using smaller injection zones, and reusing needles. Injecting into lipohypertrophy sites can cause unexplained hypoglycemia because insulin absorption is delayed or erratic, thus potentially worsening glucose levels and even diabetes management. Therefore, developing a lipohypertrophy checklist for patients who inject insulin is necessary to detect lipohypertrophy as soon as possible in order to avoid repeatedly injecting into lipohypertrophy sites. A lipohypertrophy checklist will help patients maintain stable glucose levels by minimizing the risk of glycemic variability.
Key Words: Checklist, Insulin injection site, Lipohypertrophy
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