Insulin oedema in type 2 diabetes mellitus: a case report
Insulin oedema is a rare condition that may occur after the initiation or rapid intensification of insulin therapy in patients with long-standing hyperglycaemia, commonly with type 1 diabetes mellitus (DM). We reported a case of insulin oedema in a patient with type 2 DM who presented with swelling...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academy of Family Physicians of Malaysia
2022
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/97289/7/97289_Insulin%20oedema%20in%20type%202%20diabetes%20mellitus.pdf http://irep.iium.edu.my/97289/ https://e-mfp.org/article/insulin-oedema-in-type-2-diabetes-mellitus-a-case-report/ https://doi.org/10.51866/cr.6 |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | Insulin oedema is a rare condition that may occur after the initiation or rapid intensification of insulin therapy in patients with long-standing hyperglycaemia, commonly with type 1 diabetes mellitus (DM). We reported a case of insulin oedema in a patient with type 2 DM who presented with swelling of the extremities and weight gain of 3 kg 1 week after insulin initiation. A course of furosemide was administered, but no significant immediate improvement was observed; however,
the lower limb swelling resolved spontaneously after 3 months of follow-up. The patient also achieved adequate diabetic control with insulin, as shown by the reduction of her HbA1c from 10.7% to 6.9% over 6 months. Insulin oedema is a diagnosis of exclusion after ruling out other differential diagnoses, such as cardiac, renal, or liver failure. Although insulin oedema carries with it a good prognosis, physicians should be aware of the condition to avoid misdiagnosis. |
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