Type 2 Diabetes Mellitus Requiring Large-dose Insulin during Severe Acute Pancreatitis

• Matsuhashi Toru

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Kihara Yasuyuki

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Shimada Misa

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Taguchi Masashi

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Tashiro Mitsuo

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Yamamoto Mitsuyoshi

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

• Otsuki Makoto

  Department of Gastroenterology and Metabolism, University of Occupational and Environmental Health, Japan, School of Medicine

Bibliographic Information

Other Title

• 重症急性膵炎の発症により大量のインスリンを要した2型糖尿病の1例
• 症例報告 重症急性膵炎の発症により大量のインスリンを要した2型糖尿病の1例
• ショウレイ ホウコク ジュウショウ キュウセイスイエン ノ ハッショウ ニ ヨリ タイリョウ ノ インスリン オ ヨウシタ 2ガタ トウニョウビョウ ノ 1レイ

Abstract

A 63-year-old woman admitted for left hypochondalgia and left back pain on February 27, 2004, had been diagnosed with type 2 diabetes mellitus and treated with oral hypoglycemic agents since 8 years earlier. She was diagnosed with severe acute pancreatitis and treated with a continuous intravenous infusion of rapid insulin. She required 217 units of insulin per day to maintain plasma glucose below 150 mg/dl. The required dose of insulin gradually decreased with improvement of in her condition. Before discharge, her hyperglycemia was successfully controlled with oral hypoglycemic agents without insulin. Hyperglycemia is a risk factor in acute pancreatitis and strict glycemic control plays an important role in improving mortality in severe acute pancreatitis.

Journal

• Journal of the Japan Diabetes Society

  Journal of the Japan Diabetes Society 51 (1), 19-25, 2008

  THE JAPAN DIABETES SOCIETY

Keywords

• 重症急性膵炎
• 高血糖

Details

• CRID: 1390001204903968640
• NII Article ID: 130004511053
• NII Article ID: 10021274679
• NII Book ID: AN00166576
• DOI: 10.11213/tonyobyo.51.19
• ISSN: 1881588X
• ISSN: 0021437X
• NDL BIB ID: 9372690
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I9372690
• Web Site: https://search.jamas.or.jp/link/ui/2008147150
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • CiNii Articles
• Abstract License Flag: Disallowed