Tuesday, January 31, 2012

TWICHOO Soldiers are Down to Syringes

The following tweet was brought to my attention in comments on another post:

 gary taubes 

Worried about the greatly-exaggerated death of the insulin hypothesis? Take the latest NEJM image-challenge: 



The image that link leads us to is at right, along with a selection of conditions for one to select as the cause of the malformation.  Well, of course, the answer is "Insulin lipohypertrophy".  When one answers and goes to the responses, they get the following explanation:

These pendulous subcutaneous periumbilical masses were attributed to 31 years of insulin injection to manage type 1 diabetes. Lipohypertrophy can be associated with glycemic flux and prevented by rotating injection sites.

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