• 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)
Weinrauch LA, Aoki T, Arky R, D'Elia JA. Insulin Resistance With Pancreatic Pseudocyst Relieved by Percutaneous Drainage. Arch Intern Med. 1983;143(6):1244–1245. doi:10.1001/archinte.1983.00350060176028
Customize your JAMA Network experience by selecting one or more topics from the list below.