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): . || doi: 10.5694/j.1326-5377.2009.tb02601.x
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.


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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