RT Journal A1 Albareda MM, Balmes LL, Wagner AA, Corcoy RR T1 INsulin pens and acute deterioration in blood glucose control JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD January 11 VO 159 IS 1 SP 100 OP 100 DO UL http://dx.doi.org/ AB Insulin pens have allowed flexibility in the lifestyle of patients with diabetes,1 and their use has become widespread.2 Pen use does not necessarily imply improvement in metabolic control, which may even deteriorate,1,3 and technical problems can occur.2,4- 5 We describe 3 pregnant women with diabetes in whom metabolic control deteriorated owing to pen malfunction.