advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From St. Louis, Missouri, USA:

I am 28 years old, and have had Type 1 (insulin-dependant) diabetes for 19 years. I have used an insulin pump for three years, and I've used Humalog insulin for the past year. I have developed extreme lipoatrophy/dystrophy in my thighs, even though I rotate sites religiously. Even more inexplicably, the atrophy has spread to non-pump areas (arms and buttocks)! What is causing this? What can be done to cure this?

Answer:

Especially in view of the fact that the lipoatrophy has now appeared in areas where there was never any insulin injection, I think you should talk to your doctor about the rather rare possibility that you may in fact have a variety of diabetes called 'lipodystrophic diabetes'. Some additional clinical features that might confirm this would be rather conspicuous muscle development, an increase in body hair and a brownish rash especially on the neck and under the arms which is called acanthosis nigricans. Some evidence of insulin resistance is also a feature.

Since the changes don't seem to have responded to the usual approach of injecting insulin at the periphery of the lesions, you might consider talking to a plastic surgeon; but there has been only one account of a cosmetic approach to lipoatrophy as opposed to lipodystrophy.

DOB

DTQ-19990308162940
Original posting 7 Jun 1999
Posted to Blood Tests and Insulin Injections and Insulin Pumps

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:04
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.