抄録
A transdisciplinary team for diabetic education has been formed at our hospital since 1975. An admission dedicated to the education for patients, including counseling by pharmacists, has also been provided. In this paper we report how pharmacists contributed to the treatment of a 47-year-old man with diabetic ketosis who showed allergic symptoms to human insulin. Human insulin therapy was started after his admission to our hospital. The patient, however, 4 months later claimed that he was anxious about delayed appearance of the insulin allergy characterized by a local-itchy, wheal-and-flake reaction at the site of the injections. The specific lgE for human insulin was positive (7.28 phoebes rast U/ml, score 3). Although these reactions were reduced after changing the sites of the injections together with the administration of anti-allergic agents, the patient was likely to interrupt the insulin treatment by himself. We therefore explained the results from the inspection and previously reported cases in detail. These efforts helped to decrease his fear against an insulin allergy so that we could continue to provide the insulin therapy. The patient was finally discharged from the hospital. This case suggests several important points regarding compliance counseling by pharmacists.
