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Unusual high blood glucose in ketoacidosis as first presentation of type 1 diabetes mellitus.
Endocrinol. Diabetes Metab. Case Rep. 2018:18-0094 (2018)
Diabetic ketoacidosis is a life-threatening complication of diabetes mellitus. It usually occurs in patients with type 1 diabetes where it is typically associated with only moderately increased blood glucose. Here, we report the case of a 52-year-old female patient who was admitted to the emergency unit with severely altered mental status but stable vital signs. Laboratory results on admission revealed very high blood glucose (1687 mg/dL/93.6 mmol/L) and severe acidosis (pH <7) with proof of ketone bodies in serum and urine. Past history revealed a paranoid schizophrenia diagnosed 10 years ago and for which the patient was treated with risperidone for many years. Acute treatment with intravenous fluids, intravenous insulin infusion and sodium bicarbonate improved the symptoms. Further laboratory investigations confirmed diagnosis of autoimmune type 1 diabetes. After normalization of blood glucose levels, the patient could soon be discharged with a subcutaneous insulin therapy.
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Publication type
Article: Journal article
Document type
Scientific Article
ISSN (print) / ISBN
2052-0573
e-ISSN
2052-0573
Quellenangaben
Volume: 2018,
Issue: 1,
Article Number: 18-0094
Publisher
BioScientifica
Publishing Place
Bristol
Non-patent literature
Publications
Reviewing status
Peer reviewed