Lipohypertrophy

What are the first signs of lipohypertrophy? I’m worried about it.

My understanding is that it first emerges as an area that when you press against it with your fingers it feels harder than the surrounding tissue. This will likely start as a slight mass that you can feel and it will persist. It won’t be visible. Sometimes you get a small harder area at an injection site but if it goes away in a day or two that is not lipohypertrophy.

Why are you worried about lipohypertrophy? Do you feel like you have not been rotating your sites?

I’ve been type one for 16 years and have been injecting in my stomach. I feel it may be just a little lumpy feeling under the skin, but not necessarily hard. I’m on a pump and I have been leaving my sites in longer, but they always work. I don’t have any no deliverys either. I just worry it will progress. Thanks for your reply

“A little lumpy” could be enough to worry about. The reason many of us have lipohypertrophy is that it creeps up on you. At first there’s nothing really to get alarmed about. “A little lumpy feeling” that you figure will go away if you give that area a rest.
I would try to rotate more if I were you, and also try not to leave your infusion sets in overly long, although I understand the temptation. I used to do that, too, when I had a MiniMed, mostly to save money. After a decade of not pumping, I’ve got a little trough across my abdomen on each side – exactly where I preferred my sites to be.
One of many reasons I chose the Omnipod when I started pumping again is that you cannot extend it past three days. Many times it’s so comfortable and unnoticeable that I wish I could leave it in forever – well, for another few days – but I appreciate the built-in atrophy-prevention.

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Thank you. Ughh I’m seriously the worst for leaving sites in so I’m like omg this is finally happening.

There ls lipohypertrophy and there is scarring. If you have hard lumps in the aftermatch of a site change that could be scarring as well. Most scarring can also be minimized by site rotation. And keeping a site in forever might not be a good idea.

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