Case presentation A 46-year-old man with a history of insulin-dependent diabetes mellitus (IDDM), recurrent pancreatitis, hypertension, and alcohol use disorder presented with severe abdominal pain, nausea, and vomiting. His symptoms had been intermittent for three weeks before admission. Notably, he had stopped using his insulin pump with continuous glucose monitoring over two months earlier after the device malfunctioned. Previous hospitalization The patient was hospitalized ten days ago for diabetic ketoacidosis.
Subcutaneous insulin was initiated, and he was discharged on insulin detemir, insulin lispro, calcium carbonate, pancrelipase, sucralfate, and trazodone. However, he discontinued insulin after noticing bilateral pedal edema extended to his knees following its administration. Social and medical history 60-pack-year tobacco use Daily marijuana use Weight loss due to poor diet…
