lipoatropia

Let's see if you can help me, my son is five years old, he has been with insulin bomb for two years and from the beginning we had noticed that small holes came out, I insisted on the endocrine, but they told me lipodystrophy, which would rotate the sites of theCateter, I have even an agenda so that I do not spend the day of change, now it already has a very very obvious gluteo hole, the only thing that they have told me is that it is very rare what happens to it, that it must have prediposition and thatIt has nothing to do with the rotation of insertion sites.It has a very concerned and more after having investigated online, it turns out that what happens to my child has to do with an immune response located to insulin, we go a kind of allergy to subcutaneous injection that causes the localized lossof the subcutaneous fat, hence the hole.Luckily, for now he has not affected the glycemic control.I need someone to tell me their experience, if there is a treatment, if where the catheter will be punched or put the fat, how long does it take to recover the fat, it would be better to look for a good dermatologist to take the child?

I am not being able to help you, in Angela, for the moment and fortunately, the insertion of the catheter does not produce anything, a small bulge when removing it, and that we endure almost 5 days, but Juan Luis has the most saturated areas, and that the cathetersI broke them a lot, and in the buttocks I put them on them .... If you say it is for insulin you already have the problem more located, although I do not know what solution there will be ... with the TB feathers.I happened to you? I suppose that with the continuous meter you will not have noticed anything ...
Maybe taking a specialist, be the best ... Tell us how it evolves.
Much encouragement.

hello,
It happened to me as a child (not very exaggerated) with the fast regular (I do not remember what it was called) when I changed to Humalog it happened to me.You could still consult the endocrine if you can change insulin to try ....

Hi Mornita,

I have a link that I found: Link ... 4-4-10.pdf

Extra of the document:
The treatment of lipoatrophias requires changing the type of insulin and/or the administration system, such as ISCI therapy, although they have also been described
Lipoatrophias in patient in ISCI therapy.
Glucocorticoids have also been used and, recently, topical treatment with sodium chromoglycate (topical sodium chromolyn) in the areas affected twice a day, with excellent results.In that study, treatment was used in patients who had developed lipoatrophias with different types of human insulins, such as NPH insulin, regular and fast and slow insulin analogues.The recovery of the affected area could be observed after two weeks of the treatment.
In addition, it was found that its use in healthy areas prevented the appearance of new lipoatrophias.

I would ask for an appointment with the dermatologist, but derives the endocrine that does the header pediatrician.

I have already asked for an appointment with the dermatologist, to see what he tells me.Thank you Owash for the "suggestions" of treatment, although I already know that they will feel badly, I plan to print the thirst link.Have you seen the photos?These holes are exactly the same as my son has had in different areas (legs and gluteans) but not being so pronounced, they told me that it was lipodystrophy (I deduce that they referred to Lipohipertrophy) until it has been a very pronounced holeFallen, but come on that they have not given much importance, you simply do not put the catheter but any more solution.From what I see the insulin kind, we have used them all, now it is with Apidra.Good luck that I intuitively stopped putting the catheter in the area that noticed some sinking especially in the legs, in gluteo did not notice that it had "hollows" until it became evident.It comforts me to know what it seems to have a treatment because I had a bad time, when I got into Google and put the famous "lipodystrophy", I realized that what the child had from the beginning was lipoatropia and that they just told me to rotate the areasAnd even that I started with the abdomen (thankfully I did not do it, surely I would also have lipoatrophia there are some photos that give grima).Look that we insisted, that the child has some "rare holes" ... what anger makes me let it pass, I feel guilty.

Eh, it is that here those who have been bad are the doctors and not you ... but you become insistent and realize what was happening (and put the remedy that was within your reach) your little one would be worse.

You have done it magnificently well, so nothing to feel guilty because you are not to blame for anything.