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. 2020 Apr 8;15(3):224–231. doi: 10.1016/j.jtumed.2020.03.006

Table 3.

The association between factors influencing LH and the status of LH.

Characteristics LH status
Total
N (%)
P-valuea
Present
N (%)
Not Present
N (%)
Device used
Pen 53 (66.3%) 94 (77.0%) 147 (72.8%) 0.092a
Syringe 27 (33.8%) 28 (23.0%) 55 (27.2%)
Total daily injections
1 7 (8.8%) 32 (26.2%) 39 (19.3%) 0.009a
2 42 (52.5%) 46 (37.7%) 88 (43.6%)
3 7 (8.8%) 11 (9.0%) 18 (8.9%)
4 24 (30.0%) 29 (23.8%) 53 (26.2%)
5 0 (0%) 4 (3.3%) 4 (2.0%)
Total daily injections
1–2 49 (61.3%) 78 (63.9%) 127 (62.9%) 0.699
3–5 31 (38.8%) 44 (36.1%) 75 (37.1%)
Needle length
4 mm 50 (62.5%) 74 (60.7%) 124 (61.4%) 0.656
5 mm 5 (6.3%) 11 (9.0%) 16 (7.9%)
6 mm 3 (3.8%) 2 (1.6%) 5 (2.5%)
8 mm 3 (3.8%) 2 (1.6%) 5 (2.5%)
Don't know 19 (23.8%) 33 (27.0%) 52 (25.7%)
Frequently changed needles/syringes
At every injection 45 (57.0%) 75 (62.5%) 120 (60.3%) 0.580
At every 2–3 injections 17 (21.5%) 21 (17.5%) 38 (19.1%)
At every 4–5 injections 14 (17.7%) 16 (13.3%) 30 (15.1%)
When cartridge finished 3 (3.8%) 8 (6.7%) 11 (5.5%)
Changing site of injections
A different site at every injection 55 (68.8%) 73 (60.3%) 128 (63.7%) 0.182
A week at each site 11 (13.8%) 13 (10.7%) 24 (11.9%)
Haphazardly 6 (7.5%) 22 (18.2%) 28 (13.9%)
Using only one site 8 (10.0%) 13 (10.7%) 21 (10.4%)
Injection site
Abdomen 18 (22.5%) 30 (24.6%) 48 (23.8%) 0.914
Thighs 38 (47.5%) 56 (45.9%) 94 (46.5%)
Buttocks 1 (1.3%) 3 (2.5%) 4 (2.0%)
Arm 23 (28.7%) 33 (27.0%) 56 (27.7%)
Type of insulin
Basal-bolus 28 (35.0%) 49 (40.5%) 77 (38.3%) 0.184
Basal insulin alone 6 (7.5%) 19 (15.7%) 25 (12.4%)
Premixed regular insulin 31 (38.8%) 35 (28.9%) 66 (32.8%)
Premixed insulin analogue 15 (18.8%) 18 (14.9%) 33 (16.4%)
BMI
Normal 6 (7.5%) 14 (11.5%) 20 (9.9%) 0.195
Overweight 15 (18.8%) 33 (27.0%) 48 (23.8%)
Obese 59 (73.8%) 75 (61.5%) 134 (66.3%)
Does the patient have swelling or lumps under the skin at the injection sites?
Yes 29 (36.3%) 33 (27.3%) 62 (30.8%) 0.177
No 51 (63.7%) 88 (72.7%) 139 (69.2%)
Does the patient inject into these swellings or lumps?
Always 3 (10.3%) 1 (3.3%) 4 (6.8%) 0.559
Sometimes 13 (44.8%) 14 (46.7%) 27 (45.8%)
Never 13 (44.8%) 15 (50.0%) 28 (47.5%)
Does the patient clean their skin with disinfectant (e.g. an alcohol swab) before injecting?
Yes 67 (83.8%) 82 (67.2%) 149 (73.8%) 0.009b
No 13 (16.3%) 40 (32.8%) 53 (26.2%)
How does the patient inject insulin?
Vertical 64 (80.0%) 94 (77.0%) 158 (78.2%) 0.679
Horizontal 14 (17.5%) 22 (18.0%) 36 (17.8%)
Haphazardly 2 (2.5%) 6 (4.9%) 8 (4.0%)
a

Chi-squared test was used in the analysis.

b

Statistically significant.