Double diabetes: possible but unpublished complication of insulin pump therapy

J Diabetes Complications. 2008 Mar-Apr;22(2):147-9. doi: 10.1016/j.jdiacomp.2006.10.002.

Abstract

"Double diabetes," which refers to the coexistence of type 1 and type 2 diabetes mellitus, is a newly coined term in the diabetic literature. Excessive weight gain and a family history of type 2 diabetes in a patient with type 1 diabetes are the possible major causes. We report a case of double diabetes in a 45-year-old patient with type 1 diabetes mellitus that developed after insulin pump therapy. Insulin pump therapy is a valuable method used in the management of type 1 diabetes mellitus that may provide life comfort. However, this comfort may result in excessive weight gain, which, when combined with a family history of type 2 diabetes mellitus, may predispose to double diabetes. Clinicians must consider this pattern during the use of insulin pump therapy in patients with type 1 diabetes.

MeSH terms

  • Blood Chemical Analysis
  • Blood Glucose / metabolism
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Glycated Hemoglobin / metabolism
  • Humans
  • Insulin Infusion Systems / adverse effects*
  • Kinetics

Substances

  • Blood Glucose
  • Glycated Hemoglobin A