Abstract
A 36-year-old man with type 1 diabetes developed skin inflammation at the site of subcutaneous insulin injection after 10 years of basal bolus subcutaneous insulin therapy. This inflammation led to poor insulin absorption, poorly controlled blood glucose and subsequently to ketoacidosis. The problem persisted despite a trial of continuous subcutaneous insulin infusion. The patient went on to be treated with continuous intraperitoneal insulin infusion. Three months after the procedure, he was achieving good glucose control and was able to resume his normal life, with the only complication being an episode of cellulitis surrounding the port site.
Original language | English |
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Article number | 205278 |
Journal | BMJ case reports |
Volume | 2014 |
Early online date | 21 Aug 2014 |
DOIs | |
Publication status | Published - 2014 |
Keywords
- Adult
- Blood Glucose
- Cellulitis
- Dermatitis
- Diabetes Mellitus, Type 1
- Diabetic Ketoacidosis
- Humans
- Hypoglycemic Agents
- Infusions, Parenteral
- Injections, Subcutaneous
- Insulin
- Male
- Self Care
- Skin Absorption