Elfekih Hamza, Hadjkacem Faten, Elleuch Mouna, Ghorbel Dorra, Charfi Nadia, Mnif Fatma, Rekik Nabila, Mnif Mouna, Abid Mohamed
Department of Endocrinology and Diabetology, Hedi Chaker University Hospital, Sfax, Tunisia.
Iran J Allergy Asthma Immunol. 2019 Oct 23;18(5):572-583. doi: 10.18502/ijaai.v18i5.1927.
Insulin therapy is an essential treatment for type 1 and uncontrolled type 2 diabetes mellitus (DM). Hypersensitivity reactions have been described since the first administration of insulin, the same as any other therapy. Despite being a rare situation nowadays, it requires careful intra-hospital monitoring and multidisciplinary management. Here, we present a case of a 57-year-old patient with type 2 DM, an average glycemic control, and both penicillin and insulin allergy. Heunderwent a desensitization protocol which allowed successfully dismiss him with intermediate-acting insulin.
胰岛素治疗是1型糖尿病和未控制的2型糖尿病（DM）的重要治疗方法。自首次使用胰岛素以来，就像任何其他治疗一样，已出现过敏反应的描述。尽管如今这种情况很少见，但仍需要在医院内进行仔细监测和多学科管理。在此，我们报告一例57岁的2型糖尿病患者，其血糖控制一般，同时对青霉素和胰岛素过敏。他接受了脱敏方案，最终成功停用了中效胰岛素。
