Insulin Induced Lipohypertrophy And Glycemic Control Among Children And Adolescents With Diabetes In Tikur Anbesa Specialized Hospital Addis Ababa Ethiopia

Insulin Induced Lipohypertrophy and Glycemic Control among Children and Adolescents with Diabetes in Tikur Anbesa Specialized Hospital, Addis Ababa, EthiopiarnAfewerki GebremeskelrnAddis Ababa University, 2017rnLipohypertrophy (LH) is one of the clinical complications of insulin injection which affects insulin absorption and leads to poor glycemic control. Its occurrence was mainly associated with the use of non-human origins of insulin and repeated traumatization of injection sites. Aim of this study was to assess insulin induced LH and glycemic control among children and adolescent patients from April to July 2017 in Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia. This cross sectional study was done on 176 diabetic children and adolescents who inject insulin for a minimum of one year. First, the anthropometric and clinical features of the patients were recorded in questionnaire and then observation and palpation techniques were used in assessing LH. Out of the total 176 participants, 103 (58.5%) had insulin induced LH, of them 3 (2.9%) had lipoatrophy. Factors such as age, weight, height and insulin syringe reuse had significant influence in development of insulin induced LH, considering p-value

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