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Insulin Resistance With Pancreatic Pseudocyst Relieved by Percutaneous Drainage

Insulin Resistance With Pancreatic Pseudocyst Relieved by Percutaneous Drainage Abstract • An insulin-requiring type 2 diabetic patient became insulin-resistant with development of a pancreatic pseudocyst following cholecystitis and cholecystectomy. Drainage of the cyst fluid was followed by rapid return to his prior insulin requirement. As there were no indications of insulin allergy, obesity, or hormonal imbalance, we postulate a subclinical state of pancreatitis that was relieved with drainage of the pseudocyst fluid. (Arch Intern Med 1983;143:1244-1245) References 1. Shipp JC, Cunningham RW, Russell RO, et al: Insulin resistance: Clinical features, natural course, and effects of adrenal steroid treatment. Medicine 1965;44:165-179.Crossref 2. Freidenberg GR, White N, Cataland S, et al: Diabetes responsive to intravenous but not subcutaneous insulin: Effectiveness of aprotinin. N Engl J Med 1981;305:363-368.Crossref 3. Olefsky JM: Insulin resistance and insulin action. Diabetes 1981;30: 148-162.Crossref 4. Ginsberg H, Kimmerling G, Olefsky JM, et al: Demonstration of insulin resistance in untreated adult-onset diabetic subjects with fasting hyperglycemia. J Clin Invest 1970;49:2151-2160.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Insulin Resistance With Pancreatic Pseudocyst Relieved by Percutaneous Drainage

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350060176028
Publisher site
See Article on Publisher Site

Abstract

Abstract • An insulin-requiring type 2 diabetic patient became insulin-resistant with development of a pancreatic pseudocyst following cholecystitis and cholecystectomy. Drainage of the cyst fluid was followed by rapid return to his prior insulin requirement. As there were no indications of insulin allergy, obesity, or hormonal imbalance, we postulate a subclinical state of pancreatitis that was relieved with drainage of the pseudocyst fluid. (Arch Intern Med 1983;143:1244-1245) References 1. Shipp JC, Cunningham RW, Russell RO, et al: Insulin resistance: Clinical features, natural course, and effects of adrenal steroid treatment. Medicine 1965;44:165-179.Crossref 2. Freidenberg GR, White N, Cataland S, et al: Diabetes responsive to intravenous but not subcutaneous insulin: Effectiveness of aprotinin. N Engl J Med 1981;305:363-368.Crossref 3. Olefsky JM: Insulin resistance and insulin action. Diabetes 1981;30: 148-162.Crossref 4. Ginsberg H, Kimmerling G, Olefsky JM, et al: Demonstration of insulin resistance in untreated adult-onset diabetic subjects with fasting hyperglycemia. J Clin Invest 1970;49:2151-2160.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1983

References