A Case of Diabetic Ketoacidosis Precipitated by Cellulitis of Thigh, Insulin Pump Infusion Site

Kwon, Hyuk Min; Sohn, Tae Seo; Lee, Jee In; Park, Jeong Hwa; Lim, Yoon Seon; Lee, Hwa Jeong; Son, Hyun Shik

Case Report

The Journal of Korean Diabetes 2008;9(2):135-139.

대퇴부 인슐린 펌프 주입부 연조직염으로 인한 당뇨병성 케톤산증 1예

권혁민, 손태서, 이지인, 박정화, 임윤선, 이화정, 손현식

A Case of Diabetic Ketoacidosis Precipitated by Cellulitis of Thigh, Insulin Pump Infusion Site

Hyuk Min Kwon, Tae Seo Sohn, Jee In Lee, Jeong Hwa Park, Yoon Seon Lim, Hwa Jeong Lee, Hyun Shik Son

Abstract

The insulin pump is used in selected type 1 diabetic subjects to achieve strict blood glucose level. The common complications of insulin pump are infection at infusion site, diabetic ketoacidosis (DKA) and hypoglycemia. The main causes of DKA during insulin pump treatment are undetected leakage of the infusion system, infection, mismanagement of the pump. Patient education in managing insulin pump decreases frequency of DKA and skin-related complication. We report a case of DKA precipitated by infection on unusual infusion sites of insulin pump.

Key Words: Diabetic ketoacidosis, Infection, Insulin pump