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Case Presentation A 52 year-old female with type 2 diabetes of 10-year duration was admitted with worsening of shooting pain and swelling of her lower extremities over the previous nine days. The pain was rated 10/10 in severity, was worse in the right side as compared to the left, radiated from her lower legs to thighs, and limited her mobility for the previous five days. She reported no history of trauma, fever, chills, skin changes, or medication noncompliance. She was managing her diabetes with two injections of premixed insulin. Her other medical problems include a history of congestive heart failure with an ejection fraction of 45%, coronary artery disease, stage 4 chronic kidney disease, and hypertension. A review of systems was remarkable for exertional dyspnea and mild ascites.

A Case of Diabetic Muscle Infarction Despite Good Diabetic Control