The Journal of Japan Academy of Diabetes Education and Nursing
Online ISSN : 2432-3713
Print ISSN : 1342-8497
ISSN-L : 1342-8497
Investigation of skin trouble in children with diabetes using continuous subcutaneous insulin infusion (CSII)
Ayumi AmemiyaNobue NakamuraYukiko NakashimaAya NakaiSohei Shitaya
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2020 Volume 24 Issue 2 Pages 103-109

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Abstract

Continuous subcutaneous insulin infusion (CSII) has shown its effectiveness in children, and the number of users are increasing. However, the actual situation of CSII troubles in children has not been clarified. Therefore, we aimed to clarify the actual condition of the skin troubles observing the skin manifestation of the child undergoing CSII in this study. Interviews were conducted with individuals and guardians regarding care methods and symptoms. The stratum corneum hydration around the puncture site, the thickness of the subcutaneous tissue by ultrasound and skin temperature on thermography were measured. When wounds were present, photographs were taken, and the size was measured by image analysis. This survey was approved by the Ethical Review Board of the affiliated institution. Eight children undergoing CSII were participated in this study. This survey was conducted in October to November (the average temperature was 14.4°C and the average humidity was 74.5%); it was revealed that tape-rash and itch were observed. The stratum corneum hydration was significantly lower in the group with rash (p=0.002). In addition, it was clarified from the interview that there was induration, redness and pus in hot and humid season. Therefore, it was indicated that the type of skin trouble depends on the season, and that the care method needs to be changed.

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© 2020 Japan Academy of Diabetes Education and Nursing
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