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Bmj Usa: Minerva


BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E127

From BMJ USA 2002;July:418

A pan-European study of insulin injection technique has some sobering findings: 30% of patients reported a lipohypertrophic lesion (known as a “lipo”) at injection sites, and only 38% say they rotate sites each time they inject rapid acting insulin. Less than half of patients had been taught effective lipo prevention, and 22% say they throw used needles into the trash without making the needle safe. But it's not all bad news: 70% say they inject using a skin “pinch-up,” which is linked to improved glycohemoglobin levels (Practical Diabetes 2002;19:71–76).

Many doctors use risk calculations for heart disease to help advise their patients. Mortality data taken from a large French study over a 13 year period has helped to identify that the combination of high systolic blood pressure and high serum cholesterol leads to a threefold to fourfold increase in cardiovascular and coronary heart disease in men under the age of 55 (European Heart Journal 2002;23:528–535).

Azithromycin, an expensive antibiotic commonly prescribed in the United States, …

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