L'éducation des patients présentant des lipohypertrophies a-t-elle un impact sur l'équilibre glycémique ?

Patients treated with insulin often use incorrect injection techniques. As a consequence lipohypertrophy (LH), an alteration of the subcutaneous tissue, can appear and may lead to deranged glycemic control. A recent survey showed that LH is present in 49.6% of insulin-treated patients in France. New recommendations for the delivery of insulin have been recently published. The recommendations state that the best way to preserve healthy subcutaneous tissue is to correctly rotate injection sites. Two recent studies have shown that education focused on LH is associated with an improvement in glycemic control, and a reduction in the consumption of insulin. The key elements in this intervention are correct rotation of the injection sites (using a 4 mm needle), and no reuse of needles.