Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report

Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes : A case report

Espes, Daniel (author): Uppsala universitet,Institutionen för medicinsk cellbiologi

Engström, Joakim (author): Uppsala universitet,Anestesiologi och intensivvård

Reinius, Henrik (author): Uppsala universitet,Anestesiologi och intensivvård

Carlsson, Per-Ola (author): Uppsala universitet,Institutionen för medicinsk cellbiologi,Endokrin diabetes och metabolism

(creator_code:org_t)

2013-04-02
2013
English.
In: Upsala Journal of Medical Sciences. - : Uppsala Medical Society. - 0300-9734 .- 2000-1967. ; 118:2, s. 130-133

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Abstract Subject headings

We here report a case of diabetic ketoacidosis at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself. Twenty-four hours after admission she was transferred to the clinic of internal medicine due to altered mental status, and laboratory screening revealed a pH of 6.895 and blood glucose concentration of 40 mmol/L. Due to the unusual combination of prolonged starvation and diabetic ketoacidosis we implemented some modifications of existing treatment guidelines and some special considerations regarding nutrition in order to prevent a re-feeding syndrome.

By the author/editor: Espes, Daniel; Engström, Joakim; Reinius, Henrik; Carlsson, Per-Ol ...

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