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Extreme insulin resistance in a patient with pre-existing diabetes during pregnancy: role of U-500 insulin

Vincent W Wong and Alexia V Pape
Med J Aust 2009; 190 (11): 650-651.
Published online: 1 June 2009

To the Editor: The management of pregnant women with pre-existing diabetes is often challenging for clinicians.

  • Vincent W Wong
  • Alexia V Pape

  • Liverpool Hospital, Sydney, NSW.


Acknowledgements: 

We thank the medical staff, diabetes educators and dietitians who were involved in the care of this patient during her pregnancy. We are also grateful to Eli Lilly for supplying U-500 insulin for this patient.

Competing interests:

Vincent Wong has received speaker fees from Eli Lilly for educational seminars.

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