Not all ketosis is type 1 - remember Flatbush.

Craus, Sarah; Mula, Abigail; Coppini, David

Craus, Sarah; Mula, Abigail; Coppini, David.

Afiliación

Craus S; Department of Medicine, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Mula A; Department of Medicine, Mater Dei Hospital, Msida, Malta.
Coppini D; Department of Medicine, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.

Br J Hosp Med (Lond) ; 85(7): 1-4, 2024 Jul 30.

Article en En | MEDLINE | ID: mdl-39078899

ABSTRACT

ABSTRACT

A 35-year-old otherwise healthy gentleman from Togo, was referred as a 'walk-in' to our clinic with polyuria and polydipsia, and a glycated haemoglobin (Hba1c) of 119 mmol/mol (13.1%). The patient also noted 5kg weight loss over a short span of time. He had a significant family history of Type 2 Diabetes Mellitus (T2DM). Initial blood tests revealed a blood glucose of 22.84 mmol/L, with positive ketones (1.2 mmol/L). Urinalysis showed glycosuria (1000 mg/dL) but was negative for nitrites and white cells. Renal, liver and thyroid function tests were all within normal limits. He had mild metabolic acidosis.

Asunto(s)

Diabetes Mellitus Tipo 2; Humanos; Masculino; Adulto; Cetoacidosis Diabética/diagnóstico; Diabetes Mellitus Tipo 1/complicaciones; Diagnóstico Diferencial; Hemoglobina Glucada/análisis; Cetosis/diagnóstico; Cetosis/etiología; Glucemia/metabolismo; Glucemia/análisis; Poliuria/etiología

Palabras clave

Atypical diabetes; Autoantibodies; Diabetic ketoacidosis; Ketosis-prone diabetes

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 2 Límite: Adult / Humans / Male Idioma: En Revista: Br J Hosp Med (Lond) Asunto de la revista: HOSPITAIS / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Malta Pais de publicación: Reino Unido

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