ArticleJournal of diabetes investigation2025
Development of a diagnostic model of insulin-related lipohypertrophy for patients with diabetes mellitus.
Article in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimsTo develop a diagnostic model of insulin-related lipohypertrophy for patients with diabetes mellitus. MATERIALS AND
methodsA cross-sectional study was performed. Between December 2021 and November 2022, a total of 395 diabetic patients treated with insulin were enrolled from a tertiary hospital in Tianjin, China. Demographic and clinical factors were collected, and patients were assessed for lipohypertrophy by ultrasound scanning. The rate of lipohypertrophy was investigated, and a nomogram was developed based on a logistic regression model. SPSS 26.0 and R Studio 2022.12.0+353 3.6.3 were used to analyze the data.
results89.6% (354/395) patients were identified with lipohypertrophy. In this study, 693 lipohypertrophy sites in lipohypertrophy patients and 91.5% (634/693) lipohypertrophy were distributed at the abdomen. Self-injection, duration of insulin injection, and incorrect rotation were selected as predictors to develop a lipohypertrophy diagnosed diagnostic nomogram model of lipohypertrophy in diabetic patients treated with insulin. The accuracy, calibration, and clinical applicability of the model are good; thus, it fits well.
conclusionsA nomogram including three easily available factors (self-injection, duration of insulin injection, and incorrect rotation) was developed, and it can be used in diabetes management among diabetes patients treated with insulin.
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