Diabetic Lipohypertrophy Delays Insulin Absorption

Author:

Young Robert J1,Hannan W James1,Frier Brian M1,Steel Judith M1,Duncan Leslie J P1

Affiliation:

1. Diabetic Department and Department of Medical Physics, Royal Infirmary Edinburgh, Scotland

Abstract

The effect of lipohypertrophy at injection sites on insulin absorption has been studied in 12 insulin-dependent diabetic patients. The clearance of 125 I-insulin from sites with lipohypertrophy was significantly slower than from complementary nonhypertrophied sites (% clearance in 3 h, 43.8 ± 3.5 ± SEM) control; 35.3 ± 3.9 lipohypertrophy, P < 0.05). The degree of the effect was variable but sufficient in several patients to be of clinical importance. Injection-site lipohypertrophy is another factor that modifies the absorption of subcutaneously injected insulin.

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

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