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Bilateral pleural effusions, ascites, and facial and peripheral oedema in a 19‐year‐old woman 2 weeks following commencement of insulin lispro and detemir—an unusual presentation of insulin oedema
Author(s) -
Lee P.,
Kinsella J.,
Borkman M.,
Carter J.
Publication year - 2007
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2007.02241.x
Subject(s) - medicine , peripheral edema , ascites , insulin , complication , insulin detemir , surgery , pleural effusion , diabetes mellitus , edema , peripheral , effusion , hypoglycemia , endocrinology , adverse effect , insulin glargine
Insulin oedema is a rare complication of insulin therapy and usually occurs in patients with Type 1 diabetes. It can present in a variety of ways, from mild peripheral oedema to cardiac failure and massive serosal effusions. We report a 19‐year‐old woman with newly diagnosed Type 1 diabetes who presented with bilateral pleural effusions, ascites and extensive peripheral oedema 2 weeks after starting insulin therapy. Significant cardiac disease was excluded, and the massive fluid retention resolved spontaneously with conservative management. A review of the literature is presented.