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Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique
Majority of patients with diabetes mellitus (DM), who are on insulin therapy, use insulin pen for convenience, accuracy, and comfort. Some patients may require two different types of insulin preparations for better glycemic control. We have reported a case of poor glycemic control as a consequence o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899865/ https://www.ncbi.nlm.nih.gov/pubmed/29805817 http://dx.doi.org/10.1155/2018/7236452 |
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author | Poudel, Ramesh Sharma Shrestha, Shakti Bhandari, Sushma Piryani, Rano Mal Adhikari, Shital |
author_facet | Poudel, Ramesh Sharma Shrestha, Shakti Bhandari, Sushma Piryani, Rano Mal Adhikari, Shital |
author_sort | Poudel, Ramesh Sharma |
collection | PubMed |
description | Majority of patients with diabetes mellitus (DM), who are on insulin therapy, use insulin pen for convenience, accuracy, and comfort. Some patients may require two different types of insulin preparations for better glycemic control. We have reported a case of poor glycemic control as a consequence of inappropriate insulin injection technique. A 57-year-old man with type 2 DM had been using premix insulin 30 : 70 for his glycemic control for the last 12 years. On follow-up visit, his blood sugar level (BSL) had increased; therefore the treating physician increased the dose of premix insulin and added basal insulin with the aim of controlling his blood sugar level. Despite these changes, his BSL was significantly higher than his previous level. On investigation, the cause of his poor glycemic control was found to be due to inadequate delivery of insulin (primarily premix) as a consequence of lack of priming and incompatibility of single insulin pen for two cartridges. His basal insulin was discontinued and the patient along with his grandson was instructed to administer insulin correctly. After correction of the errors, the patient had a better glycemic control. |
format | Online Article Text |
id | pubmed-5899865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-58998652018-05-27 Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique Poudel, Ramesh Sharma Shrestha, Shakti Bhandari, Sushma Piryani, Rano Mal Adhikari, Shital Case Rep Endocrinol Case Report Majority of patients with diabetes mellitus (DM), who are on insulin therapy, use insulin pen for convenience, accuracy, and comfort. Some patients may require two different types of insulin preparations for better glycemic control. We have reported a case of poor glycemic control as a consequence of inappropriate insulin injection technique. A 57-year-old man with type 2 DM had been using premix insulin 30 : 70 for his glycemic control for the last 12 years. On follow-up visit, his blood sugar level (BSL) had increased; therefore the treating physician increased the dose of premix insulin and added basal insulin with the aim of controlling his blood sugar level. Despite these changes, his BSL was significantly higher than his previous level. On investigation, the cause of his poor glycemic control was found to be due to inadequate delivery of insulin (primarily premix) as a consequence of lack of priming and incompatibility of single insulin pen for two cartridges. His basal insulin was discontinued and the patient along with his grandson was instructed to administer insulin correctly. After correction of the errors, the patient had a better glycemic control. Hindawi 2018-04-01 /pmc/articles/PMC5899865/ /pubmed/29805817 http://dx.doi.org/10.1155/2018/7236452 Text en Copyright © 2018 Ramesh Sharma Poudel et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Poudel, Ramesh Sharma Shrestha, Shakti Bhandari, Sushma Piryani, Rano Mal Adhikari, Shital Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title | Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title_full | Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title_fullStr | Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title_full_unstemmed | Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title_short | Diabetes Mellitus with Poor Glycemic Control as a Consequence of Inappropriate Injection Technique |
title_sort | diabetes mellitus with poor glycemic control as a consequence of inappropriate injection technique |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899865/ https://www.ncbi.nlm.nih.gov/pubmed/29805817 http://dx.doi.org/10.1155/2018/7236452 |
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