Key result
Insulin therapy alone successfully resolved acute pancreatitis secondary to very severe hypertriglyceridemia (>10,000 mg/dL), negating the need for apheresis.
Case Report (n=1)
Insulin therapy alone can successfully treat acute pancreatitis secondary to very severe hypertriglyceridemia (>10,000 mg/dL), potentially avoiding the need for apheresis.
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Insulin monotherapy may resolve extreme hypertriglyceridemia pancreatitis; leaves open need for controlled trials before practice change.
Gayam et al. (2018) conducted a case report in Acute pancreatitis secondary to hypertriglyceridemia (n=1). Insulin therapy was evaluated on Resolution of acute pancreatitis and decrease in triglyceride level. Insulin therapy alone successfully resolved acute pancreatitis secondary to very severe hypertriglyceridemia (>10,000 mg/dL), negating the need for apheresis.
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