Insulin Lipohypertrophy: A Case of Poor Diabetic Control

Abstract

16 year male, with type 1 diabetes mellitus for last 6 years was admitted because of Diabetic Ketoacidosis (DKA). Despite having good insulin compliance, he had lost 4 Kg over last 5 months and had HbA1c of 11.3 % at admission. On examination, he was found to have abdominal lipohypertrophy where he had been persistently injecting insulin. Injecting insulin at different sites dramatically improved blood glucose control after he was out of DKA. Insulin injections can. JMS 2011;14(1):33