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5/11/2026 9:00:23 AM | Browse: 6 | Download: 10
Publication Name World Journal of Diabetes
Manuscript ID 114042
Country Australia
Received
2025-09-10 06:04
Peer-Review Started
2025-09-15 00:27
First Decision by Editorial Office Director
2025-10-27 09:16
Return for Revision
2025-10-27 09:16
Revised
2026-03-10 19:48
Publication Fee Transferred
Second Decision by Editor
2026-03-26 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-03-26 03:53
Articles in Press
2026-03-26 03:53
Edit the Manuscript by Language Editor
2026-03-31 04:40
Typeset the Manuscript
2026-04-28 09:42
Publish the Manuscript Online
2026-05-11 09:00
ISSN 1948-9358 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Endocrinology & Metabolism
Manuscript Type Minireviews
Article Title From lipodystrophy to subcutaneous insulin depots: Overlooked mechanisms of glycemic variability in patients with diabetes
Manuscript Source Invited Manuscript
All Author List Nhi Thi Y Nguyen, Hau Phuc Tran, Thang Viet Luong, Dat Xuan Nguyen, Duong Hung Tran, Phuong Ho Thi Hoai, Meng-Chi Lee and Hai Nguyen Ngoc Dang
ORCID
Author(s) ORCID Number
Nhi Thi Y Nguyen http://orcid.org/0009-0008-8888-2445
Hau Phuc Tran http://orcid.org/0009-0009-5072-0237
Thang Viet Luong http://orcid.org/0009-0008-5109-9115
Dat Xuan Nguyen http://orcid.org/0009-0001-7274-3570
Duong Hung Tran http://orcid.org/0009-0007-5257-9914
Phuong Ho Thi Hoai http://orcid.org/0009-0006-2583-015X
Meng-Chi Lee http://orcid.org/0009-0006-4764-2870
Hai Nguyen Ngoc Dang http://orcid.org/0009-0006-4512-4658
Funding Agency and Grant Number
Corresponding Author Hai Nguyen Ngoc Dang, Menzies Institute for Medical Research, University of Tasmania, 1/17 Liverpool Street, Hobart 7000, Tasmania, Australia. ngochai123dc@gmail.com
Key Words Insulin depot; Lipohypertrophy; Lipodystrophy; Insulin absorption; Injection technique; Ultrasound; Diabetes
Core Tip Lipohypertrophy is a common but often overlooked cause of unstable insulin activity. Tissue hypertrophy and fibrosis at injection sites can create insulin depot behavior, leading to delayed and unpredictable absorption with both hyperglycemia and late hypoglycemia. A practical management pathway combines routine injection-site inspection with palpation (and ultrasound when needed), structured rotation and technique education, and close monitoring with individualized dose adjustment when patients are switched away from affected areas. Embedding injection-site care into routine insulin titration can reduce avoidable glycemic variability and improve insulin safety.
Publish Date 2026-05-11 09:00
Citation

Nguyen NTY, Tran HP, Luong TV, Nguyen DX, Tran DH, Hoai PHT, Lee MC, Dang HNN. From lipodystrophy to subcutaneous insulin depots: Overlooked mechanisms of glycemic variability in patients with diabetes. World J Diabetes 2026; 17(5): 114042

URL https://www.wjgnet.com/1948-9358/full/v17/i5/114042.htm
DOI https://dx.doi.org/10.4239/wjd.v17.i5.114042
Full Article (PDF) WJD-17-114042-with-cover.pdf
Manuscript File 114042_Auto_Edited_132709-YJP.docx
Answering Reviewers 114042-answering-reviewers.pdf
Audio Core Tip 114042-audio.mp3
Conflict-of-Interest Disclosure Form 114042-conflict-of-interest-statement.pdf
Copyright License Agreement 114042-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 114042-non-native-speakers.pdf
Peer-review Report 114042-peer-reviews.pdf
Scientific Misconduct Check 114042-scientific-misconduct-check.png
Scientific Editor Work List 114042-scientific-editor-work-list.pdf
CrossCheck Report 114042-crosscheck-report.pdf