ULTRASONOGRAPHY OF SUBCUTANEOUS FAT AS A METHOD OF INSULIN INDUCED LIPOHYPERTROPHY DIAGNOSTICS IN DIABETIC PATIENTS
https://doi.org/10.21886/2219-8075-2013-1-13-15
Abstract
Purpose: To evaluate the frequency of insulin induced lipohypertrophy (LH) in diabetic patients revealed by observation and palpation techniques, as well as ultrasonography of subcutaneous fat.
Materials and methods: This study was done on 192 diabetic patients (mean duration of disease was 10 years) who had been under the treatment with insulin a mean 8 years. Observation and palpation techniques, as well as ultrasonography of subcutaneous fat were used in assessing LH in these diabetics.
Results: On the basis of palpation LH were revealed in 27,7% patients. Further ultrasonography of injection sites was performed to all patients. LH were revealed in 83,2% patients, including those subjects with palpatory changes. Pathologic areas of subcutaneous fat the most often were occurred in paraumbilical regions – 61% patients.
Summary: Problem of LH has been modified. As a result, traditional methods of LH diagnostics have become not an informative. This question is needed an additional investigation.
About the Authors
N. I. Volkova
Rostov State Medical University
Russian Federation
Russian Federation
Department of Internal Medicine № 3,
29 Nakhichevansky st., Rostov-on-Don, 344022I. U. Davidenko
Rostov State Medical University
Russian Federation
Russian Federation
Department of Internal Medicine № 3,
29 Nakhichevansky st., Rostov-on-Don, 344022References
1. International Diabetes Federation, Diabetes Atlas, 5th Edition. URL: http://www.idf.org/diabetesatlas (дата обращения: 17.01.2013).
2. Дедов И.И. и др. Алгоритмы медицинской помощи больным сахарным диабетом. // Сахарный диабет. - 2011. - №2. - C. 4-71.
3. Rowe AH, Garrison OH. Lipodystrophy: atrophy and tumerfaction of subcutaneous tissue due to insulin injections. // JAMA. - 1932. - №99. - P. 16-18.
4. Kordonouri O, Lauterborn R, Deiss D: Lipohypertrophy in young patients with type 1 diabetes (Letter). // Diabetes Care. - 2002. - №25:634. - P. 106-110.
5. Многотомное руководство по внутренним болезням. Том VII. Болезни эндокринной системы. Под ред. А.А. Багдасарова. - М.: Медгиз, 1966. - С. 573-598.
6. Volkova N.I. et al. Subcutaneous fat ultrasonography as a new method of lipohypertrophy diagnostics in diabetic patients // XXXI World congress of internal medicine. Final program. 2012.- P. 102.
7. Волкова Н.И., Давиденко И.Ю. Липогипертрофии у больных, получающих инсулинотерапию: современное состояние проблемы // Сахарный диабет. - 2011. - №2. - С. 80-83.
8. Майоров А.Ю., Мельникова О.Г. Национальные рекоменции для медицинских работников по технике инъекций при лечении сахарного диабета. - М.: ФГБУ ЭНЦ МЗСР РФ, 2012. - С. 16-20.
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For citations:
Volkova N.I., Davidenko I.U. ULTRASONOGRAPHY OF SUBCUTANEOUS FAT AS A METHOD OF INSULIN INDUCED LIPOHYPERTROPHY DIAGNOSTICS IN DIABETIC PATIENTS. Medical Herald of the South of Russia. 2013;(1):13-15. (In Russ.) https://doi.org/10.21886/2219-8075-2013-1-13-15
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