CASE REPORT - Insulin oedema in type 2 diabetes mellitus: A case report
https://doi.org/10.51866/cr.6
- Author:
Mohd Aznan Md Aris
1
;
Kui Foung Tan
2
;
Abdul Hadi Said
3
Author Information
1. MD (USM), MMed (Family Medicine) (USM) Department of Family Medicine International Islamic University Malaysia, Kuantan, Pahang Malaysia
2. MD (UKM) Department of Family Medicine International Islamic University Malaysia, Kuantan, Pahang Malaysia
3. MD (USM), MMed (Family Medicine) (UM) Department of Family Medicine International Islamic University Malaysia, Kuantan, Pahang Malaysia
- Publication Type:Journal Article
- Keywords:
Insulin;
oedema;
type 2 diabetes mellitus
- MeSH:
Insulin;
Edema;
Diabetes Mellitus, Type 2
- From:Malaysian Family Physician
2022;17(1):94-98
- CountryMalaysia
- Language:English
-
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.
- Full text:202508181030380474v17n1-Cr-Insulin-oedema-in-type.pdf
