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A suitable palpation technique allows to identify skin lipohypertrophic lesions in insulin-treated people with diabetes

Overview of attention for article published in SpringerPlus, May 2016
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  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (59th percentile)

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Title
A suitable palpation technique allows to identify skin lipohypertrophic lesions in insulin-treated people with diabetes
Published in
SpringerPlus, May 2016
DOI 10.1186/s40064-016-1978-y
Pubmed ID
Authors

Sandro Gentile, Giuseppina Guarino, Annalisa Giancaterini, Piero Guida, Felice Strollo, AMD-OSDI Italian Injection Technique Study Group

Abstract

Lipohypertrophy (LH) is a major complication of subcutaneous insulin treatment brought about by multiple overlapping injections and/or needle reuse. It is responsible for unacceptable glucose oscillations due to a high rate of hypoglycaemic episodes and rebound glucose spikes. Skin ultrasound scans (USS), the gold standard for its detection, is too expensive for screening purposes. To define a structured method allowing health professionals (HPs) to identify LH lesions as inexpensively and correctly as possible. Out of 129 insulin-treated people with diabetes identified by USS as having LH lesions, only 40 agreed to participate in the study (24 females, age 54 ± 15 years, daily insulin dosage 57 ± 12 IU). Each was blindly examined by four well trained and four non-trained HPs according to a standard method involving repeated well codified maneuvers. A specific training allowed inexperienced HPs to acquire high diagnostic accuracy in identifying LH lesions independent of site, size, shape, and even BMI. This kind of training also allowed to reach a 97 % consistency rate among HPs as compared to USS, while the lack of training was associated with a wide variability and inconsistency of identification results. Diabetes teams should follow systematically the simple procedure reported in this paper for the diagnosis of LH and try to get it further implemented and progressively refined in large scale studies. This would have a major impact on patient education in terms of (1) correct injection technique and (2) ability to identify lesions early enough to prevent poor metabolic outcome.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 47 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 17%
Student > Bachelor 8 17%
Other 4 9%
Professor 3 6%
Student > Doctoral Student 3 6%
Other 9 19%
Unknown 12 26%
Readers by discipline Count As %
Medicine and Dentistry 16 34%
Nursing and Health Professions 10 21%
Pharmacology, Toxicology and Pharmaceutical Science 4 9%
Sports and Recreations 1 2%
Psychology 1 2%
Other 2 4%
Unknown 13 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 December 2023.
All research outputs
#14,342,944
of 25,068,002 outputs
Outputs from SpringerPlus
#654
of 1,867 outputs
Outputs of similar age
#144,005
of 304,737 outputs
Outputs of similar age from SpringerPlus
#65
of 159 outputs
Altmetric has tracked 25,068,002 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,867 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one has gotten more attention than average, scoring higher than 64% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 304,737 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 159 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 59% of its contemporaries.