A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday

BACKGROUND: The diagnosis of type 1 diabetes can be a life-changing moment for our patients particularly having to live with the idea of taking insulin all their life and the barriers it can bring about. CASE REPORT: We report a patient with ten years of autoimmune type 1 diabetes treated with insul...

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Autores principales: Butt, Muhammad Imran, Mukhtar, Noha, Riazuddin, Muhammad, Amer, Lama, Elsayed, Tarek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Salvia Medical Sciences Ltd 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344034/
https://www.ncbi.nlm.nih.gov/pubmed/34466590
http://dx.doi.org/10.31661/gmj.v9i0.1769
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author Butt, Muhammad Imran
Mukhtar, Noha
Riazuddin, Muhammad
Amer, Lama
Elsayed, Tarek
author_facet Butt, Muhammad Imran
Mukhtar, Noha
Riazuddin, Muhammad
Amer, Lama
Elsayed, Tarek
author_sort Butt, Muhammad Imran
collection PubMed
description BACKGROUND: The diagnosis of type 1 diabetes can be a life-changing moment for our patients particularly having to live with the idea of taking insulin all their life and the barriers it can bring about. CASE REPORT: We report a patient with ten years of autoimmune type 1 diabetes treated with insulin. He was able to stop insulin in favour of oral diabetes agents after dynamic endocrine tests confirmed micro insulin secretion despite autoimmunity. Our case demonstrates that a detailed history and thorough investigations adopting a holistic approach can sometimes change the course of disease management and can leave a positive impact on the life of our patients. CONCLUSION: Patients with partial retention of beta-cell function in type 1 diabetes can temporarily stop insulin safely with ongoing surveillance.
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spelling pubmed-83440342021-08-30 A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday Butt, Muhammad Imran Mukhtar, Noha Riazuddin, Muhammad Amer, Lama Elsayed, Tarek Galen Med J Case Report BACKGROUND: The diagnosis of type 1 diabetes can be a life-changing moment for our patients particularly having to live with the idea of taking insulin all their life and the barriers it can bring about. CASE REPORT: We report a patient with ten years of autoimmune type 1 diabetes treated with insulin. He was able to stop insulin in favour of oral diabetes agents after dynamic endocrine tests confirmed micro insulin secretion despite autoimmunity. Our case demonstrates that a detailed history and thorough investigations adopting a holistic approach can sometimes change the course of disease management and can leave a positive impact on the life of our patients. CONCLUSION: Patients with partial retention of beta-cell function in type 1 diabetes can temporarily stop insulin safely with ongoing surveillance. Salvia Medical Sciences Ltd 2020-03-05 /pmc/articles/PMC8344034/ /pubmed/34466590 http://dx.doi.org/10.31661/gmj.v9i0.1769 Text en Copyright© 2020, Galen Medical Journal. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) )
spellingShingle Case Report
Butt, Muhammad Imran
Mukhtar, Noha
Riazuddin, Muhammad
Amer, Lama
Elsayed, Tarek
A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title_full A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title_fullStr A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title_full_unstemmed A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title_short A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
title_sort life-changing moment in a patient with type 1 diabetes: insulin holiday
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344034/
https://www.ncbi.nlm.nih.gov/pubmed/34466590
http://dx.doi.org/10.31661/gmj.v9i0.1769
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