TY - JOUR
T1 - A case of ketoacidosis caused by the breakdown of the infusion syringe during continuous subcutaneous insulin infusion
AU - Izumi, Kenichi
AU - Mori, Hitoe
AU - Kojima, Motoyasu
AU - Takagi, Yusuke
AU - Kawata, Nozomi
AU - Yanagi, Yui
AU - Takagi, Satoko
AU - Nishimura, Hiroko
AU - Ashida, Kenji
AU - Hisatomi, Akitaka
AU - Anzai, Keizo
PY - 2012/9/1
Y1 - 2012/9/1
N2 - Introduction: Continuous subcutaneous insulin injection (CSII) is an effective method for controlling blood glucose. However, complications include cutaneous complications (e. g., inflammation and infection) and uncontrollable blood glucose due to insulin leaks, obstruction, and technical problems, which may lead to hyperglycemia such as diabetic ketoacidosis (DKA) or hypoglycemia. However, other than islet or pancreas transplantation, CSII is the best method for controlling blood glucose. History: A patient with DKA using an old-type CSII instrument was referred to our hospital. Investigation: At first, we could not understand why DKA had occurred because the skin at the infusion site appeared to be in good condition. However, the syringe was found to be broken when the instrument was unlocked and the pump was removed. Conclusion: To exchange older CSII instruments for newer models may be the safer alternative to prevent syringe accidents.
AB - Introduction: Continuous subcutaneous insulin injection (CSII) is an effective method for controlling blood glucose. However, complications include cutaneous complications (e. g., inflammation and infection) and uncontrollable blood glucose due to insulin leaks, obstruction, and technical problems, which may lead to hyperglycemia such as diabetic ketoacidosis (DKA) or hypoglycemia. However, other than islet or pancreas transplantation, CSII is the best method for controlling blood glucose. History: A patient with DKA using an old-type CSII instrument was referred to our hospital. Investigation: At first, we could not understand why DKA had occurred because the skin at the infusion site appeared to be in good condition. However, the syringe was found to be broken when the instrument was unlocked and the pump was removed. Conclusion: To exchange older CSII instruments for newer models may be the safer alternative to prevent syringe accidents.
UR - http://www.scopus.com/inward/record.url?scp=84866756059&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866756059&partnerID=8YFLogxK
U2 - 10.1007/s13340-012-0071-1
DO - 10.1007/s13340-012-0071-1
M3 - Article
AN - SCOPUS:84866756059
VL - 3
SP - 176
EP - 177
JO - Diabetology International
JF - Diabetology International
SN - 2190-1678
IS - 3
ER -