TY - JOUR T1 - Insulin-mediated lipohypertrophy: an uncommon cause of diabetic ketoacidosis JF - BMJ Case Reports DO - 10.1136/bcr-2017-220387 VL - 2017 SP - bcr-2017-220387 AU - Anjana Barola AU - Pramil Tiwari AU - Anil Bhansali Y1 - 2017/08/11 UR - http://casereports.bmj.com/content/2017/bcr-2017-220387.abstract N2 - A 15-year-old boy with a 3-year history of type 1 diabetes mellitus was referred to endocrinology clinic for the management of uncontrolled blood glucose levels. His present treatment plan comprised subcutaneous basal-bolus insulin regimen. He was taking regular insulin before the three major meals and insulin glargine at the bedtime. His body mass index (BMI) was 14.8 kg/m2 and HbA1c level 14.9%, suggesting uncontrolled hyperglycaemia for a long time.On examination, he was found to have remarkably prominent bilateral lipohypertrophic areas on the lower abdomen (figure 1), large enough to be noticeable even through the clothing.Figure 1 Showing prominent bulge on either side of the lower abdomen (side view).His injection practices revealed … ER -