Abstract
A 24-year-old man with type 1 diabetes, presented with neuropathic pain and severe postural hypotension, was diagnosed with insulin-induced peripheral neuropathy which mimicking diabetic peripheral neuropathy following a rapid improvement in glycaemic control. HbA1c was reduced from 17.5% to 7.4 % within two months. A decrease in insulin dosage with a relaxing glycaemic target improved his condition. In conclusion, clinicians should have a high index of suspicion of this condition in a patient presenting with neuropathic pain and autonomic dysfunction following rigorous glycaemic control.