The assemblage of skin findings in the type 1 DM with incorrect injection technique: A case report

Area of Science:

• Pediatric Endocrinology
• Dermatology
• Diabetes Management

Background:

• Effective glycemic control in type 1 Diabetes Mellitus (DM) relies on correct insulin administration technique, type, and dose.
• Errors in insulin administration can lead to suboptimal glycemic control, impacting both short-term and long-term patient health.

Observation:

• A 10-year-old male with type 1 DM presented with poor glycemic control and unusual circular skin rashes on his abdomen.
• The observed rashes were macules and papules, varying in color (white to brownish-black), size (0.5–1 cm), and pigmentation, with a hyperpigmented halo.

Findings:

• The patient's insulin was administered intradermally instead of subcutaneously, indicating an incorrect injection technique.
• This incorrect technique is presumed to be the cause of the observed dermatological manifestations and poor glycemic control.

Implications:

• Highlights the critical importance of proper diabetes education and insulin administration techniques in managing type 1 DM.
• Emphasizes the need for healthcare providers to regularly assess and reinforce correct insulin administration methods during patient visits.
• Underscores the potential for cutaneous side effects resulting from improper insulin injection techniques.