IMAGES IN EMERGENCY MEDICINE
Intracutaneous insulin injection
1 Department of Endocrinology, Command Hospital (Central Command), Lucknow, India
2 Medical Services, Uttar Bharat Area, Bareilly, India
3 Command Headquarters (Central Command), Lucknow, India
Correspondence to:
Correspondence to Dr A Singh Kashyap, Department of Endocrinology, Command Hospital (Central Command), Lucknow 226002, India; kashyapajits@gmail.com
Accepted 2 June 2008
| The first 100% of the full text of this article appears below. |
A 62-year-old woman with type 2 diabetes mellitus had been on meal-related rapid-acting insulin and long-acting insulin analogues for 1 year. She was brought to hospital with a 2-day history of altered sensorium. She had no focal neurological deficit and no signs of meningeal irritation. Her blood glucose values were 900 mg/dl (50 mmol/l). Clinical examination and other investigations confirmed the diagnosis of hyperglycaemic-hyperosmolar state (HHS). Abdominal examination revealed scars due to multiple abscesses caused by intracutaneous insulin injections (fig 1). Intracutaneous insulin injections had caused poor insulin absorption and uncontrolled hyperglycaemia and HHS.
Figure 1 Photograph of the abdomen showing scars due to multiple abscesses caused by intracutaneous insulin injections.
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Competing interests None.
Patient consent Obtained.
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