Comparison of ultrasound scanning and clinical examination for detecting insulin injection related Lipohypertrophy and construction of Lipohypertrophy classification table.

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-10-27 DOI:10.1111/dme.15458

Hongmei Xu, Zhengnan Cheng, Xiaohui Li, Chun Mu, Di Bao, Qiuling Xing

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引用次数: 0

Abstract

Aims: To explore an cost-effective, convenient method for lipohypertrophy (LH) detection with a high detection rate, and to construct a classification table for LH, so as to provide reference for LH screening and management.

Methods: From December 2021 to November 2022, 395 hospitalized patients with diabetes from a Tianjin tertiary hospital were enrolled. The LH was detected through ultrasound scanning (USS), structured visual palpation (SVP), and ordinary visual palpation (OVP), and the detection rates were compared. A classification table for LH (LH-LNT table) was constructed based on SVP characteristics.

Results: Under USS, SVP, and OVP, the detection of LH was 89.6%, 78.0%, and 66.6% respectively, with site detection at 92.3%, 71.2%, and 57.8% respectively, showcasing statistically significant differences among the three methods. SVP had a lower misdiagnosis rate than OVP, with upper arm and thighs being common misdiagnosed sites. LH was mostly found in the lower abdomen, flat, and soft on palpation. L1N2T1 (two soft LH on abdomen) was the main type, accounting for 35.4%.

Conclusions: SVP is useful for detecting LH and deserves clinical promotion. The LH-LNT table constructed here effectively summarizes patient LH status, aiding doctor-nurse-patient communication.

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比较超声波扫描和临床检查在检测胰岛素注射相关脂肪肥厚症方面的作用，并建立脂肪肥厚症分类表。

目的：探索一种经济、便捷、检出率高的脂肪肥厚（LH）检测方法，并构建LH分类表，为LH筛查和管理提供参考：方法：2021年12月至2022年11月，选取天津某三级甲等医院的395例住院糖尿病患者作为研究对象。通过超声扫描（USS）、结构化视诊（SVP）和普通视诊（OVP）检测 LH，并比较检出率。根据 SVP 特征构建了 LH 分类表（LH-LNT 表）：结果：在 USS、SVP 和 OVP 下，LH 的检出率分别为 89.6%、78.0% 和 66.6%，其中部位检出率分别为 92.3%、71.2% 和 57.8%，三种方法之间存在显著的统计学差异。SVP 的误诊率低于 OVP，上臂和大腿是常见的误诊部位。LH 多见于下腹部，平坦，触诊时柔软。L1N2T1（腹部有两个柔软的 LH）是主要类型，占 35.4%：SVP可用于检测LH，值得临床推广。本文构建的 LH-LNT 表能有效概括患者的 LH 状况，有助于医生、护士和患者之间的沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”