Related Experiment Video
Updated: May 11, 2026

High Resolution 3D Imaging of the Human Pancreas Neuro-insular Network
Published on: January 29, 2018
Insulin oedema in a child with newly diagnosed diabetes mellitus
Avinash Aravamudhan1, Chris Gardner, Claire Smith
1Department of Paediatrics, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust, Blackburn, BB2 3HH, UK.
Insights
Insulin edema is a rare complication of diabetes treatment. This condition, characterized by swelling, typically resolves on its own within weeks, especially in younger patients.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pharmacology
Background:
- Insulin edema is a rare complication associated with insulin therapy for diabetes mellitus.
- Reported in type 1 and poorly controlled type 2 diabetes, often following insulin initiation or intensification.
- Primarily documented in adults, with limited pediatric case reports.
Observation:
- A 9-year-old boy with diabetic ketoacidosis developed generalized edema shortly after starting insulin therapy.
- This presentation represents one of the youngest cases reported in the medical literature.
- The edema resolved spontaneously within a few weeks without specific intervention.
Findings:
- Insulin edema is an uncommon, likely under-reported complication of insulin therapy.
- The condition is generally transient and self-resolving.
- Early recognition is crucial to distinguish it from other causes of edema.
Implications:
- Highlights the importance of recognizing insulin edema in pediatric patients presenting with diabetic ketoacidosis.
- Emphasizes the need to differentiate this benign condition from more serious causes of edema.
- Suggests that insulin edema may occur more frequently than reported, particularly in specific patient populations.
Abstract:
Insulin oedema is a rare complication of insulin therapy for diabetes mellitus. It has been reported in type 1 diabetes mellitus, in poorly controlled type 2 diabetes mellitus following either the initiation or intensification of insulin therapy and in underweight patients on large doses of insulin. There are only a few case reports since it was first described in 1928, showing that it is an uncommon and probably an under-reported complication. The majority of those reports have been in the adult population. The generalised oedema tends to develop shortly after initiation or intensification of insulin therapy and resolves spontaneously within few weeks. We present one of the youngest patients reported in the literature, a 9-year-old boy who developed insulin oedema within few days of presenting with diabetic ketoacidosis. The case highlights the importance of recognising this generally transient and self-resolving complication and differentiating it from other serious causes of oedema.
Related Concept Videos
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Type I Diabetes III: Clinical Manifestations
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Symptoms, Diagnosis, and Complications
Type I Diabetes I: Introduction

