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Relationship between Lipohypertrophy, Injection Techniques and Education in adults with Type 2 Diabetes: A Systematic Review

Thomas, Jenny; Meal, Andrew; Adams, Gary G.

Relationship between Lipohypertrophy, Injection Techniques and Education in adults with Type 2 Diabetes: A Systematic Review Thumbnail


Authors

Jenny Thomas

ANDY MEAL andy.meal@nottingham.ac.uk
Assistant Professor



Abstract

Introduction: This systematic review examines Lipohypertrophy (LH) in patients presenting with Type 1/2 Diabetes (T1/2DM) in relation to education and injection techniques. LH is a condition, which occurs in diabetes individuals at injection sights. The most common method used is palpation in detecting LH, however preventing LH can be challenging due to a number of risk factors associated with LH.

Method: Seven electronic databases were systematically searched for the most appropriate studies to be included. Articles were identified using Critical Appraisal Skills Programme (CASP) for eligibility. Key words were used to search the database. A PRISMA-based systematic review was used to identify studies.

Results: A total of 49 studies were identified for consideration for this review, to consolidate the studies the abstracts were examined and from these 8 studies were deemed appropriate. Three themes identified from the studies were selected: Theme 1, Risk factors in the development of LH; Theme 2, Patient education influences the development of LH and Theme 3, Do injec¬tion techniques cause LH?
Conclusion: There are number of risk factors associated with the cause of LH. Education plays a key role in the prevention of LH although this is not without its limitations. Further selective studies are required in order to establish if there is one stand¬alone factor.

Citation

Thomas, J., Meal, A., & Adams, G. G. (2019). Relationship between Lipohypertrophy, Injection Techniques and Education in adults with Type 2 Diabetes: A Systematic Review. Journal of Diabetes and Treatment, 4(2), Article 1074. https://doi.org/10.29011/2574-7568.001074

Journal Article Type Article
Acceptance Date Oct 11, 2019
Online Publication Date Oct 15, 2019
Publication Date Oct 15, 2019
Deposit Date Oct 25, 2019
Publicly Available Date Oct 25, 2019
Electronic ISSN 2574-7568
Publisher Gavin Publishers
Peer Reviewed Peer Reviewed
Volume 4
Issue 2
Article Number 1074
DOI https://doi.org/10.29011/2574-7568.001074
Keywords Type 1/2 diabetes; Adults; Education; Insulin injection techniques; Lipohypertrophy
Public URL https://nottingham-repository.worktribe.com/output/2964986
Publisher URL https://www.gavinpublishers.com/articles/review-article/Journal-of-Diabetes-and-Treatment-ISSN-2574-7568/relationship-between-lipohypertrophy-injection-techniques-and-education-in-adults-with-type-2-diabetes-a-systematic-review
Contract Date Oct 25, 2019

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