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Updated: Oct 22, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
A Life-Changing Moment in a Patient with Type 1 Diabetes: Insulin Holiday
Muhammad Imran Butt1,2, Noha Mukhtar1, Muhammad Riazuddin1
1King Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia.
Background:
The diagnosis of type 1 diabetes can be a life-changing moment for our patients particularly having to live with the idea of taking insulin all their life and the barriers it can bring about.
Case Report:
We report a patient with ten years of autoimmune type 1 diabetes treated with insulin. He was able to stop insulin in favour of oral diabetes agents after dynamic endocrine tests confirmed micro insulin secretion despite autoimmunity. Our case demonstrates that a detailed history and thorough investigations adopting a holistic approach can sometimes change the course of disease management and can leave a positive impact on the life of our patients.
Conclusion:
Patients with partial retention of beta-cell function in type 1 diabetes can temporarily stop insulin safely with ongoing surveillance.
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