Cardiac failure after initiation of insulin treatment in diabetic patients with beta-thalassemia major.
case_report · Level V
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- Record sourced from PubMed, PMID 14571237.
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Abstract
Diabetes mellitus is a complication of beta-thalassemia major. Two patients are described who developed severe cardiac failure after initiation or intensification of insulin treatment. We hypothesize that insulin-induced fluid retention combined with reduced cardiac reserve was responsible for the cardiac failure. Careful initiation of insulin treatment in these patients is important.
Medical subject headings
- Diabetic Angiopathies
- Diabetic Ketoacidosis
- Edema, Cardiac
- Hypoglycemic Agents
- Insulin
- beta-Thalassemia