Type 1 Diabetes Mellitus Patient Presented with Insulin Edema only after Intensive Lifestyle Changes: A Case Report and Brief Review of the Literature  

作　　者：Aida Al Jabri Zahra Buali Aida Al Jabri;Zahra Buali(Department of Pediatrics, King Abdulaziz Hospital, Ministry of the National Guard-Health Affairs, Al-Ahsa, KSA;King Abdullah International Medical Research Center, Al-Ahsa, KSA;King Saud Bin Abdulaziz University for Health Sciences, Al-Ahsa, KSA)

机构地区：[1]Department of Pediatrics, King Abdulaziz Hospital, Ministry of the National Guard-Health Affairs, Al-Ahsa, KSA [2]King Abdullah International Medical Research Center, Al-Ahsa, KSA [3]King Saud Bin Abdulaziz University for Health Sciences, Al-Ahsa, KSA

出　　处：《Case Reports in Clinical Medicine》2021年第11期381-386,共6页临床医学病理报告（英文）

摘　　要：Insulin edema is considered a rare type of generalized edema that occurs after initiation or intensification of insulin treatment in patients with diabetes mellitus (DM). In this case report, we present a clinically significant edema that developed following a dramatic improvement in glycemic control after intensive improvement in lifestyle in a 13-year-old girl, with type 1 DM confirmed by positive anti-glutamic acid decarboxylase (anti-GAD) antibodies. She had poor glycemic control during 2 years of insulin therapy, and following lifestyle improvements (with no changes to her medications types or doses), she developed generalized body edema, and facial puffiness that resolved spontaneously, without any intervention.Insulin edema is considered a rare type of generalized edema that occurs after initiation or intensification of insulin treatment in patients with diabetes mellitus (DM). In this case report, we present a clinically significant edema that developed following a dramatic improvement in glycemic control after intensive improvement in lifestyle in a 13-year-old girl, with type 1 DM confirmed by positive anti-glutamic acid decarboxylase (anti-GAD) antibodies. She had poor glycemic control during 2 years of insulin therapy, and following lifestyle improvements (with no changes to her medications types or doses), she developed generalized body edema, and facial puffiness that resolved spontaneously, without any intervention.

关 键 词：Insulin Edema Type 1 Diabetes Type 2 Diabetes 

分 类 号：R58[医药卫生—内分泌]