Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get urgent or emergency help for:
Severe or persistent upper abdominal pain, especially with vomiting
Rapid breathing, marked drowsiness, confusion, or inability to keep fluids down
Chest pressure, sudden weakness, facial drooping, or difficulty speaking
Fainting or severe shortness of breath
These symptoms can have several causes.
In someone with lipodystrophy, they may indicate pancreatitis, a serious blood sugar problem, or a heart or circulation emergency.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice for symptoms of high blood sugar, such as increasing thirst, frequent urination, blurred vision, unexplained weight loss, or repeated infections.
Yellow skin or eyes, a swollen abdomen, or worsening fatigue also needs assessment.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you notice unexplained loss of fat, an unusual pattern of fat buildup, increasing muscle definition without a clear reason, or persistent dents and lumps at injection sites.
Earlier assessment is especially useful when similar changes occur in relatives or begin during childhood.
Every sign above is quoted from the sofidex article on Lipodystrophy. If you are not sure, err upward — it is always reasonable to be checked.