胰岛素注射引起的脂肪营养不良:AMD-OSDI研究组关于注射技术的意大利共识声明的更新

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM
S. Gentile, E. Satta, G. Guarino, F. Strollo
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引用次数: 1

摘要

由于不正确的胰岛素注射技术引起的脂肪肥大(LH)的原因和代谢后果已经众所周知了很长一段时间,并且是无数出版物的主题。然而,只有一些研究者提出了结构化的LH研究模式和方案,以指导患者如何预防和减少其影响,从而有助于完全康复。专家和科学协会已经产生了共识文件和建议,以传播黄体生成素文化及其并发症的临床医生。但是,他们应该更深入地研究LH的检测方法。这篇短文分析了最近的文献,通过使用结构化和经过验证的临床方法,探索和发现或多或少明显的LH病变的最佳方法,使许多没有超声检查等技术设备的临床医生受益。本文还旨在使人们认识到,自上次发表的注射技术建议以来,技术更先进、适合特定人群的胰岛素注射新针头已经上市,但仍需要进行彻底的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lipodystrophies from Insulin Injection: An Update of the Italian Consensus Statement of AMD-OSDI Study Group on Injection Technique
The causes and metabolic consequences of lipohypertrophy (LH) from incorrect insulin injection techniques have been well-known for a long time and are the subject of countless publications. However, only some researchers propose structured research modalities for LH and programs to teach patients how to prevent them and minimize their effects, thus contributing to complete rehabilitation. Experts and scientific societies have produced consensus documents and recommendations to spread the culture of LH and its complications among clinicians. However, they should go deeper into LH detection methods. This short article analyzes the recent literature on the best way to explore and find more or less evident LH lesions by using a structured and validated clinical methodology to benefit the many clinicians without access to technological equipment such as ultrasonography. This text also aims to bring awareness that since the last published recommendations on injection techniques, new needles for insulin injection, more technologically advanced and suitable for specific populations, have come to market but still need a thorough evaluation.
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