Hypertriglyceridemia induced acute pancreatitis managed with low dose intravenous Insulin.

Acute Pancreatitis caused by HTG is likely to be more severe with higher rate of complications compared to other etiologies [2,3] Therefore; rapid lowering of HTG is a priority as it improves outcome of AP [4]. Insulin emerges as safe and effective agent in lowering Triglyceride level within few days. The dose of insulin is widely variable among different studies, ranging from as low as 0.1-0.3 U/kg/h to higher doses of 6-10U/kg/h, which are usually needed in diabetic patients [5,6]. The duration of Insulin therapy is another variable among reported cases; it ranges between 2-4 days. In non-diabetic patients lower doses of Insulin are usually used [7]. Although we used the lowest reported dose ; however, it was safe and effective to lower hypertriglyceridemia within two days.