June 1983

Insulin Resistance With Pancreatic Pseudocyst Relieved by Percutaneous Drainage

Author Affiliations

From the Department of Medicine, Mount Auburn and New England Deaconess Hospitals (Drs Weinrauch, Arky, and D'Elia), the Elliott P. Joslin Research Laboratory (Dr Aoki), and the Harvard Medical School (Drs Weinrauch, Aoki, Arky, and D'Elia), Boston.

Arch Intern Med. 1983;143(6):1244-1245. doi:10.1001/archinte.1983.00350060176028

• An insulin-requiring type 2 diabetic patient became insulin-resistant with development of a pancreatic pseudocyst following cholecystitis and cholecystectomy. Drainage of the cyst fluid was followed by rapid return to his prior insulin requirement. As there were no indications of insulin allergy, obesity, or hormonal imbalance, we postulate a subclinical state of pancreatitis that was relieved with drainage of the pseudocyst fluid.

(Arch Intern Med 1983;143:1244-1245)