Overcoming marked insulin resistance in a patient with type 2 diabetes mellitus by means of insulin pumptherapy

Abstract

Patients with type 2 diabetes mellitus (T2DM) often feature resistance to endogenous and exogenous insulin which is a serious problemto overcome. Current paper presents clinical case of T2DM characterized by marked insulin resistance, where high dosage regimenfailed to compensate carbohydrate metabolism. Regarding the case in question we discuss chronic insulin overdosage as one of the possiblefactors to interfere with compensation of diabetes, as well as capacity of insulin pump therapy to resolve such complicated clinicalsituation.

Keywords

• diabetes mellitus
• insulin resistance
• continuous subcutaneous insulin infusion
• insulin pump therapy