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09/16/09 01:27 PM

"Scar Tissue (ie lipohypertrophy) would deep massage in theory help break it up? Normal "scar tissue" can be reduced, could our scars use this method?"
Asked By: diabetic1966  
Category: Type 1

Background Info Hide
I am NOT asking about site rotation. After decades no matter how zealous you rotate its gonna happen given enough time, I propose Is this toughening that many experience, the same kind of physiology as surgical scar tissue or even normal scar tissue? If so that can be massaged, blood flow increase, lymph and fluid increased to the area. Why wouldn't deep massage work, in theory to help break up that toughening/lumpyness? Anybody?

Expert Answers (1)

09/25/09 09:02 PM

Well, I know you don't want to hear about site rotation, but the goal is to avoid ever developing lipohypertrophy. Between the arms, legs, abdomen, and buttocks there are on most people ample areas to inject insulin. I have never heard of deep massage as a way to reduce the size of lipohypertrophy. Yes, it is scar tissue and when injected into it insulin absorption is extremely erratic. I have only ever heard that avoiding the "lump" for as long as necessary for it to go down is the only way to get rid of it. Consult with your endocrinologist for his/her opinion on using deep massage.
Answered By: Shannon Lyles
Accreditations: BSN, RN, CDE
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Community Answers (1)

09/26/09 05:42 PM

Hello Nurse Shannon: I appreciate your thoughts. With regret and respect they were teaching "rotation" before you were born. It was taught seriously then too. Skin does not like injections/pumping don't care how much we zealously rotate it will add up and happen at some point..................... Exactly what IS this "toughened" skin anyway? ..........is it merely normal tissue punctured too closely-damaged for too long a time? Are there some residual insulin molecules sitting in there now "petrified" somehow?......... The MD's are interested in the hypothesis (were a decade+ ago too) but have nothing useful-new to offer concerning the answer............... Not making things worse is not the same as fixing the problem. Avoiding the site(s) does not fix........ Still waiting for not using the legs to make any difference. Have not used the arms in 20 years, and still have spots that make smaller gague needles bend like a pretzel. Freaked out a young nurse fairly recently actually........................ Amazed that even though relatively "benign" complication nobody seems to have seriously tackled this issue, yet anyway. Even initial/preliminary studies... the nest time someone needs a primary research topic for a doctoral/masters thesis... it does not seem to have been examined... at all deeply.
Answered By: diabetic1966
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