TY - JOUR
T1 - Implantable insulin pump therapy
T2 - An unusual presentation of a catheter-related complication
AU - Moore, Kevin B.
AU - Saudek, Christopher D.
AU - Greene, Alicia
AU - Dackiw, Alan
PY - 2006
Y1 - 2006
N2 - We report the case of a 63-year-old man who has a 19-year history of involvement in the implantable insulin pump program at Johns Hopkins University. After his most recent pump implantation in February 2004, his 24-h insulin requirement gradually increased from a baseline of 75 units to a peak of almost 500 units in June 2005. Surprisingly, insulin delivery from the pump and glycemic control remained satisfactory despite the dramatic change in insulin requirement. Laparotomy revealed a fibrous mass in the peritoneal cavity, with the track of the catheter extending into the mass. Insulin requirement declined post-resection of the mass and relocation of the catheter tip.
AB - We report the case of a 63-year-old man who has a 19-year history of involvement in the implantable insulin pump program at Johns Hopkins University. After his most recent pump implantation in February 2004, his 24-h insulin requirement gradually increased from a baseline of 75 units to a peak of almost 500 units in June 2005. Surprisingly, insulin delivery from the pump and glycemic control remained satisfactory despite the dramatic change in insulin requirement. Laparotomy revealed a fibrous mass in the peritoneal cavity, with the track of the catheter extending into the mass. Insulin requirement declined post-resection of the mass and relocation of the catheter tip.
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U2 - 10.1089/dia.2006.8.397
DO - 10.1089/dia.2006.8.397
M3 - Article
C2 - 16800761
AN - SCOPUS:33748433423
SN - 1520-9156
VL - 8
SP - 397
EP - 401
JO - Diabetes Technology and Therapeutics
JF - Diabetes Technology and Therapeutics
IS - 3
ER -