A 72-year-old morbidly obese Caucasian male patient with type II diabetes mellitus since 2005 (on insulin and metformin), hypertension since 2005, III CKD, atrial fibrillation, promyelocytic leukemia in remission, and steroid-dependent severe chronic obstructive pulmonary disease (COPD) was admitted with worsening dyspnea and edema in early March 2010. Here, INS is linked to chronic obstructive pulmonary disease.