this essay should include:
Definition of lipohypertrophy (from different resources at least 4 references )
How is happen lipohypertrophy (repeated sites of injection, needle re use, wrong needle size,…)
Side effect on blood glucose: erratic, hypoglycemia,…
Prevalence: 4-5 references + critique the result (still remain high)
what does the Guideline say the first injection technique from uk & american diabetes guideline: how to identify & detect lipohypertrophy
Process and procedure: how to assess LH
Diabetes educator are responsible to educate patients who are going to use insulin for their treatment, how to assess their sites of injection, according to ADA, FIT guideline
Then explained the update methods
using: jelly & marker
Current new studies bring together using the ultrasound as detective tool to identify lipohypertrophy
No previous systematic review or literature review to evaluate the available method
gap in the evidence :
