case_images: PMC5014774_01
case_images: a Strawberry milk-like blood before insulin therapy (left panel). Marked change to transparent color after insulin therapy (right panel). Some parts of the pictures are obstructed to block personal information. b Treatment naive lipoprotein fraction
case_images: 40064_2016_3202_Fig1_HTML.jpg
case_images: PMC5014774_01_40064_2016_3202_Fig1_HTML.jpg
case_images: Fig1
case_images: TG 272 mg/dl) had been pointed out in the annual medical check-up conducted a year before. The blood drawn for examination presented strawberry milk-like appearance (Fig. 1a, left panel). The result of treatment naive lipoprotein fraction was as shown in Fig. 1b, which revealed pre-beta-band and prominently elevated VLDL fraction up to 51 %. As shown in Fig. 1a (right panel), after insulin therapy, the serum became transparent, and there was marked difference between before and after insulin therapy, indicating that this case was truly diabetic lipemia.
case_images: Alteration of fasting blood glucose level (a) and serum triglyceride level (b) after intensive insulin therapy
case_images: 40064_2016_3202_Fig2_HTML.jpg
case_images: PMC5014774_01_40064_2016_3202_Fig2_HTML.jpg
case_images: Fig2
case_images: Fig. 2a, after increasing insulin dose, blood glucose level was decreased. Finally, when we increased insulin dose up to 40 U (insulin lispro 30 U, glargine 10 U), good glycemic control was obtained; fasting blood glucose levels were approximately 100 mg/dl. As shown in Fig. 2b, serum triglyceride level was markedly decreased together with the decrease of blood glucose level.