Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report
An increase in triglyceride levels in familial hyperlipidemia during pregnancy has been reported. Severe hypertriglyceridemia can lead to complications such as acute pancreatitis, preeclampsia, maternal and fetal complications. Because of the teratogenic effects associated with fibrate therapy in pr...
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Format: | Article |
Language: | English |
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Galenos Publishing House
2012-06-01
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Series: | Balkan Medical Journal |
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Online Access: | http://balkanmedicaljournal.org/text.php3?id=869 |
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author | Mustafa Kemal Balcı Hasan Altunbaş Nusret Yılmaz Güven Barış Cansu Ramazan Sarı |
author_facet | Mustafa Kemal Balcı Hasan Altunbaş Nusret Yılmaz Güven Barış Cansu Ramazan Sarı |
author_sort | Mustafa Kemal Balcı |
collection | DOAJ |
description | An increase in triglyceride levels in familial hyperlipidemia during pregnancy has been reported. Severe hypertriglyceridemia can lead to complications such as acute pancreatitis, preeclampsia, maternal and fetal complications. Because of the teratogenic effects associated with fibrate therapy in pregnancy, alternative treatment strategies such as insulin as a rapid and potent activator of lipoprotein lipase are required during pregnancy. We report a case of hypertriglyceridemia in a 33-year-old pregnant woman in whom treatment with merely single one time administration of Neutral Protamine Hagedorn insulin was accompanied by a reduction in the serum triglyceride level; to the best of our knowledge, this has never been reported in the literature. Her triglyceride level was 3616 mg/dL before insulin treatment and 1246 mg/dL after insulin treatment. Although this regimen was used safely and effectively in our patient, comprehensive studies are required to evaluate the effectiveness and safety of subcutaneously intermediate-acting Neutral Protamine Hagedorn insulin for the treatment of severe hypertriglyceridemia in non-diabetic pregnant women. |
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issn | 2146-3123 2146-3131 |
language | English |
last_indexed | 2024-04-10T14:34:42Z |
publishDate | 2012-06-01 |
publisher | Galenos Publishing House |
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series | Balkan Medical Journal |
spelling | doaj.art-2682ddcf20044cada715656ebee7d99b2023-02-15T16:08:40ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312012-06-01292222224Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case ReportMustafa Kemal BalcıHasan AltunbaşNusret YılmazGüven Barış CansuRamazan SarıAn increase in triglyceride levels in familial hyperlipidemia during pregnancy has been reported. Severe hypertriglyceridemia can lead to complications such as acute pancreatitis, preeclampsia, maternal and fetal complications. Because of the teratogenic effects associated with fibrate therapy in pregnancy, alternative treatment strategies such as insulin as a rapid and potent activator of lipoprotein lipase are required during pregnancy. We report a case of hypertriglyceridemia in a 33-year-old pregnant woman in whom treatment with merely single one time administration of Neutral Protamine Hagedorn insulin was accompanied by a reduction in the serum triglyceride level; to the best of our knowledge, this has never been reported in the literature. Her triglyceride level was 3616 mg/dL before insulin treatment and 1246 mg/dL after insulin treatment. Although this regimen was used safely and effectively in our patient, comprehensive studies are required to evaluate the effectiveness and safety of subcutaneously intermediate-acting Neutral Protamine Hagedorn insulin for the treatment of severe hypertriglyceridemia in non-diabetic pregnant women.http://balkanmedicaljournal.org/text.php3?id=869Pregnancyhypertriglyceridemiainsulin |
spellingShingle | Mustafa Kemal Balcı Hasan Altunbaş Nusret Yılmaz Güven Barış Cansu Ramazan Sarı Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report Balkan Medical Journal Pregnancy hypertriglyceridemia insulin |
title | Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report |
title_full | Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report |
title_fullStr | Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report |
title_full_unstemmed | Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report |
title_short | Subcutaneous NPH Insulin for Severe Hypertriglyceridemia in a Pregnant Patient with Type V Hyperlipoproteinemia: a Case Report |
title_sort | subcutaneous nph insulin for severe hypertriglyceridemia in a pregnant patient with type v hyperlipoproteinemia a case report |
topic | Pregnancy hypertriglyceridemia insulin |
url | http://balkanmedicaljournal.org/text.php3?id=869 |
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