Insulin oedema in type 2 diabetes mellitus: a case report

Md Aris, Mohd Aznan and Tan, Kui Foung and Said, Abdul Hadi (2022) Insulin oedema in type 2 diabetes mellitus: a case report. Malaysian Family Physician, 17 (1). pp. 100-104. ISSN 1985-2274

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Abstract

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.

Item Type:	Article (Case Report)
Additional Information:	4632/97289
Uncontrolled Keywords:	Insulin, oedema, type 2 diabetes mellitus
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RS Pharmacy and materia medica
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	23 Mar 2022 11:20
Last Modified:	23 Mar 2022 11:20
URI:	http://irep.iium.edu.my/id/eprint/97289

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