
January 15, 2003
Insulin
Question from Los Angeles, California, USA:
I am 36 years old, was diagnosed six years ago, and I have some kidney damage (protein spilling into the urine). Every time I take my insulin, I experience swelling in my face, legs, and feet (especially), but really all over. I don’t like taking the insulin because it makes me gain weight or get swollen, but then I start feeling numbness in my mouth so I take it. It’s just very frustrating to take something I ‘need’, and it does this to me. Have you ever heard of insulin causing swelling and/or water retention?
Answer:
This is an uncommon but recognised problem with both insulin and the thiazolidinedione group of drugs. You should talk to your doctor about the temporary use of hydrochlorothiazide and perhaps changing any oral medication.
DOB
Additional comments from Dr. Stuart Brink:
If one takes insulin intermittently a condition called insulin edema may occur. Taking insulin regularly and controlling blood glucose levels usually stops this problem. There is a rare possibility of insulin allergy causing such swelling, but this is usually very uncommon with highly purified insulins available nowadays. Switching from one type or brand to another usually solves the problem. You should discuss this directly with your diabetes team since they will give you more specific advice as to how it should be investigated and combated.
SB